Healthcare Provider Details

I. General information

NPI: 1578591160
Provider Name (Legal Business Name): ASIF HUSAIN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2006
Last Update Date: 11/12/2025
Certification Date: 11/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1300 S POTOMAC ST STE 104
AURORA CO
80012-4526
US

IV. Provider business mailing address

10403 W COLFAX AVE STE 630
LAKEWOOD CO
80215-3812
US

V. Phone/Fax

Practice location:
  • Phone: 303-671-5553
  • Fax: 303-671-0332
Mailing address:
  • Phone: 303-205-1090
  • Fax: 303-205-1120

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number35C.001799
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code208C00000X
TaxonomyColon & Rectal Surgery Physician
License NumberDR.0041837
License Number StateCO
# 3
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberMD2024-0107
License Number StateNM
# 4
Primary TaxonomyN
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number41837
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: