Provider Demographics
NPI:1295924454
Name:DAJANI, ZEINA AW (MD)
Entity type:Individual
Prefix:DR
First Name:ZEINA
Middle Name:AW
Last Name:DAJANI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1938 S GILPIN ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80210-3308
Mailing Address - Country:US
Mailing Address - Phone:612-743-7970
Mailing Address - Fax:303-351-7893
Practice Address - Street 1:4500 E 9TH AVE STE 640
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80220-3925
Practice Address - Country:US
Practice Address - Phone:303-280-2008
Practice Address - Fax:303-351-7893
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-23
Last Update Date:2019-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN55257207N00000X, 207ND0900X
OH57013167207R00000X
CODR.0054253207N00000X
OH57.013167207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No207ND0900XAllopathic & Osteopathic PhysiciansDermatologyDermatopathology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine