Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | 036-101222 | IL |
N | 207P00000X | Emergency Physician | 115974 | MO |
Y | 207PP0204X | Pediatric Emergency Physician | DR.0052912 | CO |
NPI | 1487679890 |
---|---|
Provider Name | Parisa B Jamshidi |
First Address | Denver, CO 80217-3862 |
Second Address | Englewood, CO 80113-2702 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2006 |
Last Update Date | 07/05/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
209116300 | (05) | MO |
71689273 | (05) | CO |
H31858 | (02) |