Healthcare Provider Details

I. General information

NPI: 1891058467
Provider Name (Legal Business Name): RASHA M ABDELSALAM MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/19/2012
Last Update Date: 10/01/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2283 S MONACO PKWY STE 105
DENVER CO
80222
US

IV. Provider business mailing address

2283 S MONACO PKWY STE 105
DENVER CO
80222-5845
US

V. Phone/Fax

Practice location:
  • Phone: 720-531-2370
  • Fax: 303-632-6153
Mailing address:
  • Phone: 720-531-2370
  • Fax: 303-632-6153

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberT
License Number StateMS
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberDR.0054943
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: