Healthcare Provider Details

I. General information

NPI: 1093402588
Provider Name (Legal Business Name): SALMA F YAZJI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/24/2023
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1890 N REVERE CT, F546 AHSB, SUITE 4100, RM 4102
AURORA CO
80045-7464
US

IV. Provider business mailing address

1890 N REVERE CT # F546
AURORA CO
80045-7464
US

V. Phone/Fax

Practice location:
  • Phone: 303-724-6019
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberDR.0077014
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: