Healthcare Provider Details

I. General information

NPI: 1992813133
Provider Name (Legal Business Name): AZA FAHED MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AZA NAHAS MD

II. Dates (important events)

Enumeration Date: 08/28/2006
Last Update Date: 10/16/2023
Certification Date: 10/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3292 PEORIA ST
AURORA CO
80010-1517
US

IV. Provider business mailing address

7495 W 29TH AVE
WHEAT RIDGE CO
80033-8002
US

V. Phone/Fax

Practice location:
  • Phone: 303-360-6276
  • Fax: 303-467-5355
Mailing address:
  • Phone: 303-360-6276
  • Fax: 303-467-5355

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberDH000906519
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: