Basic Information
Provider Information
NPI: 1427201938
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SALEH
FirstName: LAYTH
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 11700 W 2ND PL STE 350
Address2:  
City: LAKEWOOD
State: CO
PostalCode: 802281710
CountryCode: US
TelephoneNumber: 3035952727
FaxNumber:  
Practice Location
Address1: 11700 W 2ND PL STE 350
Address2:  
City: LAKEWOOD
State: CO
PostalCode: 802281710
CountryCode: US
TelephoneNumber: 3035956864
FaxNumber:  
Other Information
ProviderEnumerationDate: 10/28/2008
LastUpdateDate: 03/15/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RC0001XDR.0059164COY Allopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology

No ID Information.


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