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NPI Code Detail

MEDICARE: AZA FAHED MD

MEDICARE: AZA FAHED 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
1208000000XPediatrics PhysicianDH000906519CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1992813133
Entity Type Code : Individual
Provider Name (Legal Business Name) : AZA FAHED MD
Provider Business Mailing Address
First Line : 7495 W 29TH AVE
Second Line :
City : WHEAT RIDGE
State : CO
Zip : 80033-8002
Country : US
Telephone Number : 303-360-6276
Fax Number : 303-467-5355
Provider Business Practice Location Address
First Line : 3292 PEORIA ST
Second Line :
City : AURORA
State : CO
Zip : 80010-1517
Country : US
Telephone Number : 303-360-6276
Fax Number : 303-467-5355
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/28/2006
Last Update Date : 10/16/2023

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Directions to “ AZA FAHED MD” Practice Location

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