Provider Demographics
NPI:1043659022
Name:KALANI, AMIR (MD PHD)
Entity type:Individual
Prefix:
First Name:AMIR
Middle Name:
Last Name:KALANI
Suffix:
Gender:M
Credentials:MD PHD
Other - Prefix:
Other - First Name:AMIR MEHDI
Other - Middle Name:
Other - Last Name:KUSEH KALANI YAZD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2001 S SHIELDS ST STE J3
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80526-1837
Mailing Address - Country:US
Mailing Address - Phone:970-315-1870
Mailing Address - Fax:970-315-1869
Practice Address - Street 1:2001 S SHIELDS ST STE J3
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80526-1837
Practice Address - Country:US
Practice Address - Phone:970-315-1870
Practice Address - Fax:970-315-1869
Is Sole Proprietor?:No
Enumeration Date:2013-06-22
Last Update Date:2025-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0058969207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology