Healthcare Provider Details

I. General information

NPI: 1336243989
Provider Name (Legal Business Name): ASHRAF AM ABDEL-AZEEM M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: ASHRAF A ABDEL-AZEEM M.D.

II. Dates (important events)

Enumeration Date: 09/12/2006
Last Update Date: 03/03/2025
Certification Date: 03/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3035 S PARKER RD # 555
AURORA CO
80014-2901
US

IV. Provider business mailing address

3035 S PARKER RD # 555
AURORA CO
80014-2901
US

V. Phone/Fax

Practice location:
  • Phone: 303-338-5437
  • Fax: 303-338-0443
Mailing address:
  • Phone: 303-338-5437
  • Fax: 303-338-0443

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number34560
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: