Provider Demographics
NPI:1649616707
Name:DENVER AVIATION & OCCUPATIONAL MEDICINE, PC
Entity type:Organization
Organization Name:DENVER AVIATION & OCCUPATIONAL MEDICINE, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:NAZIA
Authorized Official - Middle Name:
Authorized Official - Last Name:JAVED
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:662-678-3509
Mailing Address - Street 1:10515 E 40TH AVE
Mailing Address - Street 2:SUITE 105
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80239-3269
Mailing Address - Country:US
Mailing Address - Phone:303-373-5353
Mailing Address - Fax:303-576-5663
Practice Address - Street 1:10515 E 40TH AVE
Practice Address - Street 2:SUITE 105
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80239-3269
Practice Address - Country:US
Practice Address - Phone:303-373-5353
Practice Address - Fax:303-576-5663
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-16
Last Update Date:2013-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO49497261QP2300X, 261QX0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QX0100XAmbulatory Health Care FacilitiesClinic/CenterOccupational Medicine
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care