Provider Demographics
NPI:1912231325
Name:NASSAU, KASHI (DPM)
Entity Type:Individual
Prefix:DR
First Name:KASHI
Middle Name:
Last Name:NASSAU
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:DR
Other - First Name:KASHI
Other - Middle Name:
Other - Last Name:NASSAU HINDS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DPM
Mailing Address - Street 1:PO BOX 46254
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80201-6254
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1700 WHEELING ST
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80045-7211
Practice Address - Country:US
Practice Address - Phone:303-399-8020
Practice Address - Fax:303-340-8158
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-01
Last Update Date:2021-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO713213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery