Healthcare Provider Details

I. General information

NPI: 1649852419
Provider Name (Legal Business Name): IRFAN J ALI D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/22/2021
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7700 S BROADWAY
LITTLETON CO
80122-2602
US

IV. Provider business mailing address

7700 S BROADWAY
LITTLETON CO
80122-2602
US

V. Phone/Fax

Practice location:
  • Phone: 303-730-8900
  • Fax:
Mailing address:
  • Phone: 303-730-8900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberDR.0075891
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberDR.0075891
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: