Provider Demographics
NPI:1326064726
Name:KALANI YAZD, NASER K (DNP)
Entity Type:Individual
Prefix:
First Name:NASER
Middle Name:K
Last Name:KALANI YAZD
Suffix:
Gender:M
Credentials:DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6850 E EVANS AVE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80224-2300
Mailing Address - Country:US
Mailing Address - Phone:303-691-5009
Mailing Address - Fax:303-691-8897
Practice Address - Street 1:6850 E EVANS AVE
Practice Address - Street 2:SUITE 102
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80224-2300
Practice Address - Country:US
Practice Address - Phone:303-691-5009
Practice Address - Fax:303-691-8897
Is Sole Proprietor?:No
Enumeration Date:2006-07-15
Last Update Date:2009-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO3307363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
COCO304862OtherMEDICARE PTAN
CO01734351Medicaid
CO01734351Medicaid