MEDICARE: DR. RASHA M ABDELSALAM 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
1	207Q00000X	Family Medicine Physician	T	MS
2	390200000X	Student in an Organized Health Care Education/Training Program
3	207Q00000X	Family Medicine Physician	DR.0054943	CO

General Provider Information

NPI Number	:	1891058467
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RASHA M ABDELSALAM MD

Provider Business Mailing Address
First Line	:	2283 S MONACO PKWY STE 105
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80222-5845
Country	:	US
Telephone Number	:	720-531-2370
Fax Number	:	303-632-6153

Provider Business Practice Location Address
First Line	:	2283 S MONACO PKWY STE 105
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80222
Country	:	US
Telephone Number	:	720-531-2370
Fax Number	:	303-632-6153

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

Provider Enumeration Date	:	06/19/2012
Last Update Date	:	10/01/2018

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