Active NPIIndividual provider

Derar Z Albashaireh, MBBS

Internal Medicine, Interventional Cardiology in Pueblo, Colorado

NPI Number1083902431
Practice location
3670 Parker Blvd Ste 101, Pueblo, CO 81008-2285
Fax
719-924-1592
Last updated
September 10, 2018

Derar Z Albashaireh, MBBS is a Internal Medicine, Interventional Cardiology based in Pueblo, CO. Derar Z Albashaireh, MBBS holds the professional credentials of MBBS. The NPI number for Derar Z Albashaireh, MBBS is 1083902431 and holds license No. MD.207044 (LA). The current practice location address is 3670 Parker Blvd Ste 101, Pueblo, CO 81008-2285 and the office can be reached by phone at 719-562-2900 and by fax at 719-924-1592. The NPI was assigned on July 19, 2011 and the record was last updated in NPPES on September 10, 2018.

●Provider Profile Details

NPI Number
1083902431
Provider Name
Derar Zakaryya Shanwan Albashaireh
Credential
MBBS
Entity Type
Individual (Type 1 NPI)
Gender
Male
Primary Taxonomy
Internal Medicine, Interventional Cardiology · 207RI0011X
Sole Proprietor
No
Enumeration Date
July 19, 2011
Last Update Date
September 10, 2018
NPI Status
Active

◉Business Practice Location Address

Address
3670 Parker Blvd Ste 101
Pueblo, CO 81008-2285
City
Pueblo
ZIP
81008-2285
Country
US
Phone Number
719-562-2900
Fax Number
719-924-1592

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✉Business Mailing Address

Address
Po Box 560825
Denver, CO 80256-0825
City
Denver
State
CO
ZIP
80256-0825
Phone Number
719-595-7580
Fax Number
719-545-0176

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Internal Medicine207R00000XNoMD.207044LA
Internal Medicine207R00000XNo4301098836MI
Internal Medicine, Interventional Cardiology207RI0011XYesDR.0060690CO

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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?Frequently Asked Questions

What is the NPI number of Derar Z Albashaireh, MBBS?

The NPI number of Derar Z Albashaireh, MBBS is 1083902431. It was assigned on July 19, 2011 and is currently active in the NPPES registry.

What is the specialty of Derar Z Albashaireh, MBBS?

Derar Z Albashaireh, MBBS is registered under the primary taxonomy Internal Medicine, Interventional Cardiology (code 207RI0011X) and holds license No. MD.207044 (LA).

Where does Derar Z Albashaireh, MBBS practice?

The practice location is 3670 Parker Blvd Ste 101, Pueblo, CO 81008-2285. The office can be reached at 719-562-2900 (phone) or 719-924-1592 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1083902431 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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