Provider Demographics
NPI:1114300951
Name:TALIPOV, HAKIM
Entity Type:Individual
Prefix:
First Name:HAKIM
Middle Name:
Last Name:TALIPOV
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1602 S PARKER RD STE 308
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80231-2922
Mailing Address - Country:US
Mailing Address - Phone:720-532-2920
Mailing Address - Fax:720-282-3337
Practice Address - Street 1:17989 E DICKENSON PL
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80013-5909
Practice Address - Country:US
Practice Address - Phone:720-532-2920
Practice Address - Fax:720-282-3337
Is Sole Proprietor?:No
Enumeration Date:2015-06-29
Last Update Date:2015-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPUC B-09979171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor