1730822586 NPI number — DR. AUSHJA ATHAR-HAMDANI SYED MD

Table of content: DR. AUSHJA ATHAR-HAMDANI SYED MD (NPI 1730822586)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1730822586 NPI number — DR. AUSHJA ATHAR-HAMDANI SYED MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SYED
Provider First Name:
AUSHJA
Provider Middle Name:
ATHAR-HAMDANI
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

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:
1730822586
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/20/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
12631 E 17TH AVE # 6111
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
AURORA
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80045-2527
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
303-724-2685
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
14305 E MISSISSIPPI AVE APT 249
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
AURORA
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80012-4668
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
269-830-5443
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/19/2022

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 208600000X , with the licence number:  TL.0009289 , registered in the state of CO ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 390200000X , with the licence number: TL.0009289 , registered in the state of CO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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