Malik Altoos
Individual provider Active NPI Dentist · Denver, CO
NPI 1972166155 · NPPES record last updated Sep 4, 2020
Key facts
- NPI
- 1972166155
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 25265 (FL)
- Practice address
- 301 W 6TH Ave
Denver, CO 80204-5182 - Phone
- (303) 436-6000
- NPI assigned
- Apr 15, 2019
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25265 | FL | MD | Occupational Therapist |
Networks
- Freedom Health HMO Network
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Dentist | 122300000X | 25265 | FL | Yes |
Addresses
Primary practice location
301 W 6TH Ave
Denver, CO 80204-5182
Mailing address
8305 County Road 44 Leg a
Leesburg, FL 34788-3706
Phone (352) 575-9945
Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 4, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.