MEDICARE: MUNA AHMED ELFAKI MOHAMAD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program	125078696	IL
2	208M00000X	Hospitalist Physician	DR0072638	CO

General Provider Information

NPI Number	:	1154099976
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MUNA AHMED ELFAKI MOHAMAD

Provider Business Mailing Address
First Line	:	2800 N LAKE SHORE DR APT 3111
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60657-6275
Country	:	US
Telephone Number	:	773-543-6014
Fax Number	:

Provider Business Practice Location Address
First Line	:	400 W 16TH ST
Second Line	:
City	:	PUEBLO
State	:	CO
Zip	:	81003
Country	:	US
Telephone Number	:	719-584-4921
Fax Number	:	719-595-7994

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/06/2021
Last Update Date	:	04/26/2024

Similar Medicare Providers

1366419582 — PEGGI TORGUSON FNP
Practice Location Address:

1225 N GRAND AVE STE 100
PUEBLO, CO
81003-2865

Practice Phone: 719-544-5600
Practice Fax: 888-990-2339

1225710247 — DR. CALLICO SUNSHINE JONES DSW, LCSW,
Practice Location Address:

2343 W 19TH ST
PUEBLO, CO
81003-5125

Practice Phone: 719-977-3000
Practice Fax:

1396469292 — KAYLEIGH RANEE SLOAN MA, LPC, LAC
Practice Location Address:

226 S. UNION AVE. , STE. 214
PUEBLO, CO
81003

Practice Phone: 719-828-3967
Practice Fax:

1609722727 — FREEDOM TMS OF PUEBLO LLC
Practice Location Address:

201 W 8TH ST STE 350
PUEBLO, CO
81003-3040

Practice Phone: 682-331-5592
Practice Fax:

1063172211 — MALENA CALLE CRNA
Practice Location Address:

400 W 16TH ST
PUEBLO, CO
81003-2745

Practice Phone: 719-584-7305
Practice Fax:

1598222317 — MAGEN LEEMAN PMHNP
Practice Location Address:

1115 N GRAND AVE
PUEBLO, CO
81003-2867

Practice Phone: 719-766-8511
Practice Fax:

1801891502 — BRENT A BRUMFIELD MD
Practice Location Address:

1218 N MAIN ST
PUEBLO, CO
81003-2828

Practice Phone: 719-543-7877
Practice Fax: 719-543-7882

Directions to “ MUNA AHMED ELFAKI MOHAMAD ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.