NPI 1750522702
Siamak Shahmohammadi, RPA
Practice location
- Address
- 805 Eagleridge Blvd Suite #50, Pueblo, CO 81008-2193
- Phone
- (719) 584-7415
- Fax
- (719) 542-7019
Registered specialties
Radiology Practitioner Assistant
Primary
Registry record
- NPI
- 1750522702
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 19 Mar 2009
- Record last updated
- 19 Mar 2009
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.