Individual
MARJAN SEDIGHA BOLOURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
501 E HAMPDEN AVE, ENGLEWOOD, CO 80113-2702
(303) 761-9190
(720) 874-4462
Mailing address
10800 E GEDDES AVE STE 300, ENGLEWOOD, CO 80112-3895
(303) 761-9190
(720) 874-4462
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
04-37113
KS
2085R0202X
Diagnostic Radiology Physician
17588
HI
2085R0202X
Diagnostic Radiology Physician
27754
NE
2085R0202X
Diagnostic Radiology Physician
Primary
53503
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000343871
HMSA ALL PRODUCTS
HI
05
—
10025709000
—
NE
05
—
10026277300
—
NE
05
—
10026277400
—
NE
05
—
10026277500
—
NE
05
—
10026277600
—
NE
05
—
1002627770
—
NE
05
—
10026277800
—
NE
05
—
1790930535
—
IA
05
—
1790930535
—
MT
05
—
1790930535
—
UT
05
—
1790930535
—
WY
05
—
200545800A
—
OK
05
—
201098850A
—
KS
05
—
47184841
—
CO
05
—
92403328
—
NM
05
—
935836
—
AZ
Enumeration date
11/20/2008
Last updated
12/07/2022
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