MEDICARE: BARBARA ANN TEHRANI PA

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	363A00000X	Physician Assistant	1975	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	:	1679571343
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BARBARA ANN TEHRANI PA

Provider Business Mailing Address
First Line	:	2930 11TH AVE
Second Line	:
City	:	EVANS
State	:	CO
Zip	:	80620-1011
Country	:	US
Telephone Number	:	970-395-1130
Fax Number	:	970-353-9906

Provider Business Practice Location Address
First Line	:	450 N CLEVELAND AVE
Second Line	:
City	:	LOVELAND
State	:	CO
Zip	:	80537-5508
Country	:	US
Telephone Number	:	970-669-4855
Fax Number	:	970-353-9906

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

Provider Enumeration Date	:	07/07/2005
Last Update Date	:	06/23/2009

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Directions to “ BARBARA ANN TEHRANI PA” Practice Location

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