Organization
NEUROLOGY OF THE ROCKIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAVI C SHAH MD (PRESIDENT/PHYSICIAN)
(303) 840-5051
Entity
Organization
Contact information
Practice address
125 INVERNESS DR E STE 330, ENGLEWOOD, CO 80112-5138
(303) 840-5051
(303) 840-5058
Mailing address
PO BOX 630920, LITTLETON, CO 80163-0920
(303) 840-5051
(303) 840-5058
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DR.0043539
COLORADO MEDICAL LICENSE
CO
Enumeration date
05/29/2020
Last updated
05/29/2020
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