Provider Demographics
NPI:1447730841
Name:SADIGHIAN, SHAHRAM SEAN (RN, BSN)
Entity type:Individual
Prefix:MR
First Name:SHAHRAM
Middle Name:SEAN
Last Name:SADIGHIAN
Suffix:
Gender:M
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14193 DOUBLE DUTCH CIR
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80134-8858
Mailing Address - Country:US
Mailing Address - Phone:303-669-3464
Mailing Address - Fax:
Practice Address - Street 1:14193 DOUBLE DUTCH CIR
Practice Address - Street 2:
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80134-8858
Practice Address - Country:US
Practice Address - Phone:303-669-3464
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-16
Last Update Date:2018-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0179021163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Single Specialty