MEDICARE: DR. BEHZAD MOLAVI M.D.

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	207RI0011X	Interventional Cardiology Physician	47441	CO
2	207RC0000X	Cardiovascular Disease Physician	47441	CO
3	207R00000X	Internal Medicine Physician	47441	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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1306936885
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BEHZAD MOLAVI M.D.

Provider Business Mailing Address
First Line	:	1606 PRAIRIE CENTER PKWY
Second Line	:	SUITE 350
City	:	BRIGHTON
State	:	CO
Zip	:	80601-4004
Country	:	US
Telephone Number	:	303-659-7000
Fax Number	:	303-659-4508

Provider Business Practice Location Address
First Line	:	1606 PRAIRIE CENTER PKWY
Second Line	:	SUITE 350
City	:	BRIGHTON
State	:	CO
Zip	:	80601-4004
Country	:	US
Telephone Number	:	303-659-7000
Fax Number	:	303-659-4508

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

Provider Enumeration Date	:	10/13/2006
Last Update Date	:	11/14/2013

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