Colorado Laser and Vein PC

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

37416 Issued in CO

Legal business name

COLORADO LASER AND VEIN PC

Practice address

8120 S Holly St
Suite 111
Centennial, CO 80122-4005

Phone

(303) 741-4060

Fax

(720) 489-6047

NPI assigned

Aug 5, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

David Siroospour, M.D.

Title

Owner

Phone

(303) 741-4060

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375142400000",
    "number": "1376552000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8120 S HOLLY ST",
            "address_2": "SUITE 111",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801224005",
            "telephone_number": "303-741-4060",
            "fax_number": "720-489-6047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8120 S HOLLY ST",
            "address_2": "SUITE 111",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801224005",
            "telephone_number": "303-741-4060",
            "fax_number": "720-489-6047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO LASER AND VEIN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2013-07-30",
        "status": "A",
        "authorized_official_last_name": "SIROOSPOUR",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-741-4060",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "CO",
            "license": "37416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Vascular Surgery Physician in Centennial, CO
• Providers in Centennial, CO by specialty
• Vascular Surgery Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.