Individual
ALIREZA EGHTEDAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1721 E 19TH AVE STE 300, DENVER, CO 80218-1258
(720) 754-4800
(720) 754-4801
Mailing address
4900 S MONACO ST STE 210, DENVER, CO 80237-3487
(720) 754-4800
(720) 754-4801
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
N9365
TX
207R00000X
Internal Medicine Physician
4301099957
MI
207R00000X
Internal Medicine Physician
55429
CO
207RH0003X
Hematology & Oncology Physician
Primary
55429
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78133530
—
CO
Enumeration date
05/16/2011
Last updated
07/19/2019
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