Individual
MAHROKH SHAYANPOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
777 BANNOCK ST, DENVER, CO 80204
(303) 602-6386
Mailing address
777 BANNOCK ST, DENVER, CO 80204-4507
(303) 602-6386
Taxonomy
Speciality
Code
Description
License number
State
2084P0802X
Addiction Psychiatry Physician
Primary
0058512
CO
Other
Enumeration date
02/27/2014
Last updated
08/15/2018
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