Provider Demographics
NPI:1912431107
Name:NAYDENOV, ALEKSANDAR (LMT)
Entity Type:Individual
Prefix:
First Name:ALEKSANDAR
Middle Name:
Last Name:NAYDENOV
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:ALEKSANDAR
Other - Middle Name:
Other - Last Name:NAYDENOV
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMT
Mailing Address - Street 1:3955 E EXPOSITION AVE STE 320
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80209-5033
Mailing Address - Country:US
Mailing Address - Phone:303-777-1151
Mailing Address - Fax:303-777-3112
Practice Address - Street 1:3955 E EXPOSITION AVE STE 320
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80209-5033
Practice Address - Country:US
Practice Address - Phone:303-777-1151
Practice Address - Fax:303-777-3112
Is Sole Proprietor?:No
Enumeration Date:2017-04-14
Last Update Date:2017-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COMT18946174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist