Tracy, Mahkameh Ghadimi

Tracy, Mahkameh Ghadimi is an individual health care provider with primary practice located at 4318 Trail Boss Dr Ste 100 , Castle Rock CO 80104-7512. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Tracy, Mahkameh Ghadimi can be contacted via phone (303) 338-4545.

Contact Information

Primary practice address
4318 Trail Boss Dr Ste 100 Castle Rock CO 80104-7512
Phone: (303) 338-4545
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 207QA0000X DR.0050393 Colorado
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X DR.0050393 Colorado

Profile Details

NPI number 1669634739
LBN Legal business name Tracy, Mahkameh Ghadimi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2008
Last updated Jun 17th, 2021 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669634739 NPPES
Colorado MEDICAID 58422757
Colorado Other 029172

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