MEDICARE: PAYAM KHALIGHI DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	36837	CO
2	208M00000X	Hospitalist Physician	DR.0036837	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1043282304
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAYAM KHALIGHI DO

Provider Business Mailing Address
First Line	:	2525 S DOWNING ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80210-5817
Country	:	US
Telephone Number	:	303-715-7184
Fax Number	:	720-874-5886

Provider Business Practice Location Address
First Line	:	2525 S DOWNING ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80210-5817
Country	:	US
Telephone Number	:	303-715-7184
Fax Number	:	720-874-5886

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/02/2006
Last Update Date	:	06/04/2019

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