Individual
HESHMAT KHAJEHZADEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9140 W 100TH AVE, WESTMINSTER, CO 80021-6810
(720) 217-6994
Mailing address
9140 W 100TH AVE, WESTMINSTER, CO 80021-6810
(720) 217-6994
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
834123456
—
CO
Enumeration date
12/12/2022
Last updated
12/12/2022
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