Radaideh, Sofyan Morshed Taleb

Radaideh, Sofyan Morshed Taleb is an individual health care provider with primary practice located at 3676 Parker Blvd Ste 350 , Pueblo CO 81008-2213. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Radaideh, Sofyan Morshed Taleb can be contacted via phone (719) 296-6000.

Contact Information

Primary practice address
3676 Parker Blvd Ste 350 Pueblo CO 81008-2213
Phone: (719) 296-6000
Fax: (719) 545-1146
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 49587 Colorado

Profile Details

NPI number 1477711901
LBN Legal business name Radaideh, Sofyan Morshed Taleb
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2008
Last updated Mar 18th, 2013 - about 12 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1477711901 NPPES
Colorado MEDICAID 37557874

Popular Providers