Healthcare Provider Details

I. General information

NPI: 1548244270
Provider Name (Legal Business Name): SAMI DIAB MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/06/2005
Last Update Date: 08/08/2025
Certification Date: 08/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 S POTOMAC ST
AURORA CO
80012-5405
US

IV. Provider business mailing address

7951 E MAPLEWOOD AVE SUITE 300
GREENWOOD VILLAGE CO
80111-4723
US

V. Phone/Fax

Practice location:
  • Phone: 303-418-7600
  • Fax: 303-750-3137
Mailing address:
  • Phone: 303-930-7800
  • Fax: 303-930-7860

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License NumberDR.0037758
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberDR.0037758
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: