Healthcare Provider Details

I. General information

NPI: 1356972129
Provider Name (Legal Business Name): FMC-CAHEP AURORA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2020
Last Update Date: 01/30/2020
Certification Date: 01/30/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5250 LEETSDALE DR STE 110
DENVER CO
80246-1450
US

IV. Provider business mailing address

5250 LEETSDALE DR STE 110
DENVER CO
80246-1450
US

V. Phone/Fax

Practice location:
  • Phone: 303-954-0058
  • Fax: 303-997-6325
Mailing address:
  • Phone: 303-954-0058
  • Fax: 303-997-6325

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QC1500X
TaxonomyCommunity Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. ALOK SARWAL
Title or Position: DIRECTOR
Credential: PHD
Phone: 303-954-0058