Provider Demographics
NPI:1891068557
Name:ZANDI, SEPEHR (DC)
Entity Type:Individual
Prefix:DR
First Name:SEPEHR
Middle Name:
Last Name:ZANDI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9240 EXPLORER DR
Mailing Address - Street 2:SUITE 215
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80920-5003
Mailing Address - Country:US
Mailing Address - Phone:719-473-7000
Mailing Address - Fax:719-473-7479
Practice Address - Street 1:9240 EXPLORER DR
Practice Address - Street 2:SUITE 215
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80920-5003
Practice Address - Country:US
Practice Address - Phone:719-473-7000
Practice Address - Fax:719-473-7479
Is Sole Proprietor?:No
Enumeration Date:2012-02-10
Last Update Date:2012-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO6816111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor