Provider Demographics
NPI:1326544750
Name:KALANI WILLIAMS, NAZANIN (MD)
Entity Type:Individual
Prefix:
First Name:NAZANIN
Middle Name:
Last Name:KALANI WILLIAMS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:NAZANIN
Other - Middle Name:
Other - Last Name:KALANI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:2670 S YOUNGFIELD CT
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80228-4937
Mailing Address - Country:US
Mailing Address - Phone:303-547-5270
Mailing Address - Fax:
Practice Address - Street 1:3555 N LUTHERN PARKWAY BLD 9
Practice Address - Street 2:STE 360
Practice Address - City:WHEAT RIDGE
Practice Address - State:CO
Practice Address - Zip Code:80033
Practice Address - Country:US
Practice Address - Phone:303-431-5280
Practice Address - Fax:303-422-2002
Is Sole Proprietor?:No
Enumeration Date:2018-04-04
Last Update Date:2022-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
CODR.0068217207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program