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Farnejad Surgical LLC

Surgery in Thornton, CO. Organization (NPI-2).

NPI number1063207652
StatusActive
Last updated in NPPESApr 14, 2025

Details

NPI
1063207652
Entity type
Organization (NPI-2)
Legal business name
Farnejad Surgical LLC
Organization subpart
No
Enumeration date
Apr 14, 2025
Certification date
Apr 13, 2025
Last updated
Apr 14, 2025

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208600000X Surgery––Yes

Practice location

9351 Grant St Ste 400
Thornton, CO 80229-4375

Phone 303-452-0059

Mailing address

9351 Grant St Ste 400
Thornton, CO 80229-4375

Phone 303-452-0059

Authorized official

Farshad Farnejad
Owner
7033405143

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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