Mahkameh Ghadimi Tracy in Castle Rock - Adolescent Medicine
Mahkameh Ghadimi Tracy - NPI 1669634739
Mahkameh Ghadimi Tracy is a Adolescent Medicine in Castle Rock, Colorado. Mahkameh Ghadimi Tracy practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Mahkameh Ghadimi Tracy is 1669634739. The last update date is 2021-06-17.
Mahkameh Ghadimi Tracy's current location address is 4318 Trail Boss Dr Ste 100, Castle Rock, Colorado. You can contact this provider via phone number 3033384545. The mailing address for Mahkameh Ghadimi Tracy is 4318 Trail Boss Dr Ste 100, Castle Rock, Colorado. To know further, please read the information below!
Provider Profile Detail
Provider Name | Mahkameh Ghadimi Tracy |
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Address | 4318 Trail Boss Dr Ste 100, Castle Rock, Colorado |
Phone Number | 3033384545 |
Fax Number | |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1669634739 |
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Provider Enumeration Date | 2008-06-30 |
Last Updated Date | 2021-06-17 |
Provider Mailing Address Detail
Address | 4318 Trail Boss Dr Ste 100 |
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City | Castle Rock |
State | Colorado (CO) |
Post Code | 801047512 |
Phone Number | 3033384545 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Adolescent Medicine |
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Taxonomy | 207Qa0000X |
Licence No | DR.0050393 |
Definition: A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
58422757 | CO | -- | |
29172 | CO | KAIASER COMMERCIAL NUMBER |
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What is the unique identifier code issued to Mahkameh Ghadimi Tracy by the Centers for Medicare & Medicaid Services (CMS)?
The Mahkameh Ghadimi Tracy has been assigned the NPI (National Provider Identifier) 1669634739. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Mahkameh Ghadimi Tracy's physical address?
The Mahkameh Ghadimi Tracy is physically located at 4318 Trail Boss Dr Ste 100, in the city of Castle Rock, CO, with the postal code 801047512.
What is Mahkameh Ghadimi Tracy's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Mahkameh Ghadimi Tracy is Adolescent Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Qa0000X.
When did Mahkameh Ghadimi Tracy receive its 1669634739 assignment?
The Mahkameh Ghadimi Tracy was assigned its 1669634739 on 2008-06-30, which is the date when this unique identifier was issued to the organization.
When was the information regarding Mahkameh Ghadimi Tracy most recently updated?
The details pertaining to the Mahkameh Ghadimi Tracy, including its address, specialty, and other relevant information, were last refreshed on 2021-06-17.
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