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NPI Code Detail

MEDICARE: FARIBORZ A DAVOODI MD

MEDICARE: FARIBORZ A DAVOODI MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianH2930TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1811924343
Entity Type Code : Individual
Provider Name (Legal Business Name) : FARIBORZ A DAVOODI MD
Provider Business Mailing Address
First Line : 2025 BIGHORN RD
Second Line :
City : FORT COLLINS
State : CO
Zip : 80525-3480
Country : US
Telephone Number : 970-440-0082
Fax Number : 970-823-9002
Provider Business Practice Location Address
First Line : 2025 BIGHORN RD
Second Line :
City : FORT COLLINS
State : CO
Zip : 80525-3480
Country : US
Telephone Number : 970-449-0082
Fax Number : 970-823-9002
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2006
Last Update Date : 11/11/2025

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Directions to “ FARIBORZ A DAVOODI MD” Practice Location

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