1487136511 NPI number — DILAAWAR J. MISTRY, M.D., PLLC

Table of content: (NPI 1487136511)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1487136511 NPI number — DILAAWAR J. MISTRY, M.D., PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DILAAWAR J. MISTRY, M.D., PLLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1487136511
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/05/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1001A E HARMONY RD # 181
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FORT COLLINS
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80525-3354
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
720-770-0259
Provider Business Mailing Address Fax Number:
970-557-2326

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2021 BATTLECREEK DR UNIT A
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FORT COLLINS
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80528-5120
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
720-770-0259
Provider Business Practice Location Address Fax Number:
970-557-2326
Provider Enumeration Date:
09/05/2018

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
MISTRY
Authorized Official First Name:
DILAAWAR
Authorized Official Middle Name:
J
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
720-770-0259

Provider Taxonomy Codes

  • Taxonomy code: 261QM2500X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 88032779 , issued by the state of ( CO ) . This identifiers is of the category "MEDICAID".