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NPI Code Detail

MEDICARE: MAHIN B JALILFAR PAC

MEDICARE: MAHIN B JALILFAR PAC
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
1363A00000XPhysician AssistantPA527CO

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1348308OTHERCOMEDICARE GROUP PTAN
4C811604OTHERCOMEDICARE GROUP NUMBER

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3007396OTHERCOKAISER COMMERCIAL NUMBER

General Provider Information

NPI Number : 1245229160
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAHIN B JALILFAR PAC
Provider Business Mailing Address
First Line : 9285 HEPBURN ST
Second Line :
City : HIGHLANDS RANCH
State : CO
Zip : 80129-2262
Country : US
Telephone Number : 303-338-4545
Fax Number :
Provider Business Practice Location Address
First Line : 9285 HEPBURN ST
Second Line :
City : HIGHLANDS RANCH
State : CO
Zip : 80129-2262
Country : US
Telephone Number : 303-338-4545
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/14/2005
Last Update Date : 08/23/2019

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Directions to “ MAHIN B JALILFAR PAC” Practice Location

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