Provider Demographics
NPI:1518285634
Name:ALI, MAYSUN NUHA (DO)
Entity Type:Individual
Prefix:DR
First Name:MAYSUN
Middle Name:NUHA
Last Name:ALI
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:499 E HAMPDEN AVE STE 360
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80113-3877
Mailing Address - Country:US
Mailing Address - Phone:303-781-4485
Mailing Address - Fax:720-274-0064
Practice Address - Street 1:499 E HAMPDEN AVE STE 360
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80113-3877
Practice Address - Country:US
Practice Address - Phone:303-781-4485
Practice Address - Fax:720-274-0064
Is Sole Proprietor?:No
Enumeration Date:2010-05-13
Last Update Date:2016-06-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NE14812084N0400X
CO552882084N0400X
CODR00552882084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology