Provider Demographics
NPI:1427166842
Name:ISMAIL, NAVEED H (MD)
Entity type:Individual
Prefix:
First Name:NAVEED
Middle Name:H
Last Name:ISMAIL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8200 E BELLEVIEW AVE STE 490
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-2849
Mailing Address - Country:US
Mailing Address - Phone:303-766-0357
Mailing Address - Fax:855-296-3934
Practice Address - Street 1:8200 E BELLEVIEW AVE STE 490
Practice Address - Street 2:
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-2849
Practice Address - Country:US
Practice Address - Phone:303-766-0357
Practice Address - Fax:855-296-3934
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-27
Last Update Date:2025-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO40926208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
COG85643Medicare UPIN
COC522538Medicare PIN