Healthcare Provider Details

I. General information

NPI: 1487669859
Provider Name (Legal Business Name): MOJGAN ARASHVAND DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MOJGAN ARASHVAND-BAKER

II. Dates (important events)

Enumeration Date: 07/31/2006
Last Update Date: 03/15/2024
Certification Date: 03/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

630 E STAR CT
MONTROSE CO
81401-6702
US

IV. Provider business mailing address

PO BOX 5074
SIOUX FALLS SD
57117-5074
US

V. Phone/Fax

Practice location:
  • Phone: 970-252-1020
  • Fax: 970-252-1041
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberDOS-1128
License Number StateHI
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number02003634B
License Number StateIN
# 3
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberP1618
License Number StateTX
# 4
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberDR.0072187
License Number StateCO
# 5
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number20A 10170
License Number StateCA
# 6
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number036.122590
License Number StateIL
# 7
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number14311
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: