Ebadi, Mark A
Ebadi, Mark A is an individual health care provider with primary practice located at 125 Rampart Way Suite 200, Denver CO 80230-6406. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Ebadi, Mark A can be contacted via phone (720) 858-7600.Contact Information
Primary practice address
125 Rampart Way Suite 200
Denver CO 80230-6406
Phone: (720) 858-7600
Fax: (720) 858-7605
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 40389 | Colorado |
Profile Details
| NPI number | 1639140247 |
|---|---|
| LBN Legal business name | Ebadi, Mark A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 31st, 2006 |
| Last updated | Dec 19th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639140247 | NPPES |
| Colorado | MEDICAID | 72620544 |
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