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General NPI Number Information
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NPI Number | 1578772174
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Entity Type | Individual
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Provider Name | ANTHONY P. KHALIFAH M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/21/2007
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Last Update Date | 07/01/2018
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Provider Practice Location Address
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Address Line | 274 UNION BLVD SUITE #110
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City | LAKEWOOD
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State | CO
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Zip | 80228
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Country | US
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Telephone | 303-388-4461
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Fax | 303-270-2174
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Provider Business Mailing Address
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Address Line | 274 UNION BLVD SUITE #110
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City | LAKEWOOD
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State | CO
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Zip | 80228-1813
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Country | US
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Telephone | 303-388-4461
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Fax | 303-270-2174
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 49354
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License Number State | CO
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