Individual
AHMENEH GHAVAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4090 BRIARGATE PKWY, COLORADO SPRINGS, CO 80920-7815
(303) 724-8393
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
036143355
IL
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
DR.0072720
CO
Other
Enumeration date
07/05/2011
Last updated
01/31/2025
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