Albashaireh, Derar Zakaryya Shanwan
Albashaireh, Derar Zakaryya Shanwan is an individual health care provider with primary practice located at 3670 Parker Blvd Ste 101 , Pueblo CO 81008-2285. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Albashaireh, Derar Zakaryya Shanwan can be contacted via phone (719) 562-2900.Contact Information
Primary practice address
3670 Parker Blvd Ste 101
Pueblo CO 81008-2285
Phone: (719) 562-2900
Fax: (719) 924-1592
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD.207044 | Louisiana |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 4301098836 | Michigan |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | DR.0060690 | Colorado |
Profile Details
| NPI number | 1083902431 |
|---|---|
| LBN Legal business name | Albashaireh, Derar Zakaryya Shanwan |
| Credentials | M.B.B.S |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 19th, 2011 |
| Last updated | Sep 10th, 2018 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083902431 | NPPES |
| Colorado | MEDICAID | 9000163537 |
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