Provider Demographics
NPI:1912068255
Name:COLORADO PEDIATRIC PULMONARY ASSOCIATES
Entity Type:Organization
Organization Name:COLORADO PEDIATRIC PULMONARY ASSOCIATES
Other - Org Name:TALAT ZAFAR KHAN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PEDIATRIC PULMONOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:TANIA
Authorized Official - Middle Name:Z
Authorized Official - Last Name:KHAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:303-869-2120
Mailing Address - Street 1:7960 S UNIVERSITY BLVD
Mailing Address - Street 2:# 203
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80122-3166
Mailing Address - Country:US
Mailing Address - Phone:303-869-2120
Mailing Address - Fax:303-869-1950
Practice Address - Street 1:7960 S UNIVERSITY BLVD
Practice Address - Street 2:# 203
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80122-3166
Practice Address - Country:US
Practice Address - Phone:303-869-2120
Practice Address - Fax:303-869-1950
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-12
Last Update Date:2010-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO32129174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty