Provider Demographics
NPI:1861360968
Name:KHAWARI, MASOUMA
Entity type:Individual
Prefix:
First Name:MASOUMA
Middle Name:
Last Name:KHAWARI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5959 DUNKIRK ST APT 8206
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80249-7731
Mailing Address - Country:US
Mailing Address - Phone:720-372-8220
Mailing Address - Fax:
Practice Address - Street 1:5959 DUNKIRK ST APT 8206
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80249-7731
Practice Address - Country:US
Practice Address - Phone:720-372-8220
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-29
Last Update Date:2025-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula