Individual
KIAN ALI MODANLOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
701 E HAMPDEN AVE STE 420, ENGLEWOOD, CO 80113-2760
(303) 789-1877
(303) 789-2628
Mailing address
8490 E CRESCENT PKWY STE 380, GREENWOOD VILLAGE, CO 80111-2815
(303) 957-1310
(303) 761-4252
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
2006020979
MO
208600000X
Surgery Physician
2006020979
MO
208600000X
Surgery Physician
Primary
DR.0041865
CO
Other
Enumeration date
11/17/2006
Last updated
05/12/2025
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