Provider Demographics
NPI:1245070861
Name:ANNAORAZOV, ARSLAN
Entity type:Individual
Prefix:
First Name:ARSLAN
Middle Name:
Last Name:ANNAORAZOV
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4835 FINDON PL
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80922-2122
Mailing Address - Country:US
Mailing Address - Phone:719-321-4133
Mailing Address - Fax:
Practice Address - Street 1:2121 ACADEMY CIR STE 203
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80909-1600
Practice Address - Country:US
Practice Address - Phone:719-321-4133
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-30
Last Update Date:2024-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical