Etemadi, Alireza
Etemadi, Alireza is an sole proprietor health care provider with primary practice located at 100 Health Park Dr , Louisville CO 80027-9583. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Etemadi, Alireza can be contacted via phone (303) 673-1000.Contact Information
Primary practice address
100 Health Park Dr
Louisville CO 80027-9583
Phone: (303) 673-1000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | G67093 | California |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 51266 | Colorado |
Profile Details
| NPI number | 1902851918 |
|---|---|
| LBN Legal business name | Etemadi, Alireza |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 24th, 2006 |
| Last updated | Nov 23rd, 2016 - about 9 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 | 1902851918 | NPPES |
| California | MEDICAID | 00G670930 | |
| California | Other | 00G670930 | |
| California | Other | G67093 | |
| California | MEDICAID | 09250255 |
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