MEDICARE: JAMIE A. AMINSHARIFI MD

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	2085R0202X	Diagnostic Radiology Physician	DR.0059233	CO

General Provider Information

NPI Number	:	1871853416
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMIE A. AMINSHARIFI MD

Provider Business Mailing Address
First Line	:	1650 COCHRANE CIR UNIT MEDDAC
Second Line	:
City	:	FORT CARSON
State	:	CO
Zip	:	80913-4604
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1514 WOOD AVE
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80907-7351
Country	:	US
Telephone Number	:	941-456-0771
Fax Number	:

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

Provider Enumeration Date	:	05/16/2012
Last Update Date	:	01/30/2025

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