Organization
AVICENNA MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALI AKSAR SHAH MD (MANAGER)
(580) 916-5095
Entity
Organization
Contact information
Practice address
2283 S MONACO PKWY STE 105, DENVER, CO 80222-5845
(720) 531-2370
(303) 632-6153
Mailing address
2283 S MONACO PKWY STE 105, DENVER, CO 80222-5845
(720) 531-2370
(303) 632-6153
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
10/26/2022
Last updated
02/17/2023
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