Avicenna Medical Clinic

Primary specialty

Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X

Legal business name

AVICENNA MEDICAL CLINIC

Practice address

2283 S Monaco Pkwy Ste 105
Denver, CO 80222-5845

Phone

(720) 531-2370

Fax

(303) 632-6153

NPI assigned

Oct 26, 2022

Organization subpart

No

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

Authorized official

Name

Ali Aksar Shah, MD

Title

Manager

Phone

(580) 916-5095

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1666742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676592000000",
    "number": "1750008041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2283 S MONACO PKWY STE 105",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802225845",
            "telephone_number": "720-531-2370",
            "fax_number": "303-632-6153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2283 S MONACO PKWY STE 105",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802225845",
            "telephone_number": "720-531-2370",
            "fax_number": "303-632-6153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVICENNA MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-26",
        "last_updated": "2023-02-17",
        "certification_date": "2023-02-17",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "ALI",
        "authorized_official_middle_name": "AKSAR",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "580-916-5095",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@zmilyhealth.com",
            "affiliation": "N",
            "address_1": "2283 S Monaco Pkwy Ste 105",
            "city": "Denver",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802225845",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jane Avery, CNM
• Kristiana L Avery, NP
• Tom Avery, MSW
• Vanessa Olwen Aves
• Tiffany Ann Avey, DDS
• Denise Avila, PHARMD
• Jacqueline Avila
• Ximena Guadalupe Avilez, BA
• Avis Medical Supply, LLC
• Nanci Avitable, PH.D.

• Addiction Medicine (Family Medicine) Physician in Denver, CO
• Providers in Denver, CO by specialty
• Addiction Medicine (Family Medicine) Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2023; 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.