Healthcare Provider Details

I. General information

NPI: 1992465116
Provider Name (Legal Business Name): REHAM ABUKHALIFA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/29/2021
Last Update Date: 09/09/2026
Certification Date: 05/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

999 17TH ST STE 500
DENVER CO
80202
US

IV. Provider business mailing address

13702 E HAMILTON DR
AURORA CO
80014-3941
US

V. Phone/Fax

Practice location:
  • Phone: 720-421-0101
  • Fax:
Mailing address:
  • Phone: 720-421-0101
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberDR.0077528
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: