NPI 1962580050 · live from the CMS NPI Registry
Maryam Mandana Asgari, MD
Dermatology, MOHS-Micrographic Surgery in Aurora, CO. National Provider Identifier 1962580050, active.
NPI record
| NPI | 1962580050 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dermatology, MOHS-Micrographic Surgery 207ND0101X |
| Practice location | 1665 Aurora Ct, Aurora, CO 80045 |
| Practice phone | 720-848-0000 |
| Mailing address | Po Box 110429, Aurora, CO 80042 |
| Enumerated | November 2, 2006 |
| Last updated | May 2, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology | 207N00000X | A82504 (CA) |
| Dermatology, MOHS-Micrographic Surgery | 207ND0101X | 261458 (MA) |
| Dermatology, MOHS-Micrographic Surgery primary | 207ND0101X | DR.0070724 (CO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.