Individual
MANI SHAHIDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
6342 E GEDDES AVE, CENTENNIAL, CO 80112-1536
(720) 529-9758
(561) 498-5856
Mailing address
6301 W 38TH AVE, WHEAT RIDGE, CO 80033-5057
(303) 940-9118
(303) 940-5943
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2426
CO
Other
Enumeration date
04/02/2007
Last updated
02/07/2008
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