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NPI Code Detail

MEDICARE: DR. ABDELRAHMAN SELIM MD

MEDICARE: DR. ABDELRAHMAN SELIM MD
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
12084P0800XPsychiatry PhysicianDR.0058140CO

General Provider Information

NPI Number : 1235423302
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ABDELRAHMAN SELIM MD
Provider Business Mailing Address
First Line : 4770 BASELINE RD STE 200
Second Line :
City : BOULDER
State : CO
Zip : 80303-2668
Country : US
Telephone Number : 720-715-8459
Fax Number : 720-815-0253
Provider Business Practice Location Address
First Line : 4770 BASELINE RD STE 200
Second Line :
City : BOULDER
State : CO
Zip : 80303-2668
Country : US
Telephone Number : 720-715-8459
Fax Number : 720-815-0253
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2011
Last Update Date : 02/16/2026

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