Provider Demographics
NPI:1154310779
Name:NAWAZ, DILSHER M (MD)
Entity Type:Individual
Prefix:DR
First Name:DILSHER
Middle Name:M
Last Name:NAWAZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:4900 S MONACO ST
Mailing Address - Street 2:#210
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80237-3486
Mailing Address - Country:US
Mailing Address - Phone:303-750-0822
Mailing Address - Fax:303-750-1298
Practice Address - Street 1:1444 S POTOMAC ST
Practice Address - Street 2:#300
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80012-4508
Practice Address - Country:US
Practice Address - Phone:303-750-0822
Practice Address - Fax:303-750-1298
Is Sole Proprietor?:No
Enumeration Date:2005-10-17
Last Update Date:2022-01-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO30170207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10026280700Medicaid
NE10026281000Medicaid
WY109730000Medicaid
NE1982948089Medicaid
NE10026280600Medicaid
KS100171300DMedicaid
NE10026283100Medicaid
CO01301704Medicaid
NE10026281200Medicaid
NE10026280800Medicaid
CO01301704Medicaid
NE1982948089Medicaid
NE10026281000Medicaid
NE10026280700Medicaid
NENA2301010Medicare PIN