Healthcare Provider Details

I. General information

NPI: 1700012143
Provider Name (Legal Business Name): KATY M DELJOUI YOUNG M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KATAYOUN DELJOUI M.D.

II. Dates (important events)

Enumeration Date: 05/29/2009
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12605 E 16TH AVE
AURORA CO
80045-2545
US

IV. Provider business mailing address

PO BOX 110429
AURORA CO
80042-0429
US

V. Phone/Fax

Practice location:
  • Phone: 720-848-0000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License NumberQ0242
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberQ0242
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License NumberDR.0060468
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: