NPI

Pouran Pouneh Alizadeh

This page is a copy of the public NPPES file.

Facts

Status
Active
Credential
D.O.
Type
Individual
Enumeration date
2015-06-03
Last updated
2026-09-17

Specialties

Licenses

License TX
V4806
License CO
CDRH.0059471
License FL
TP0S8527
License DC
DO210012525
License NJ
25IB12471800
License MD
H0102068
License OR
DO216062
License ID
O-1818
License IL
36.164228
License AZ
012474
License VA
102209033
License GA
97850
License LA
353474
License OH
34C.00363
License DE
C2-0024269

Location

Practice location
5610 Ward Rd Ste 300
City
Arvada CO
Postal code
80002-1309
Phone
(970) 236-8093

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.

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OIG exclusion search

Nearby

Other NPIs in Arvada, CO. 2,519 records in the public file.

Removal request

Public data from NPPES and CMS. Not a credentialing determination.

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