1477711901 NPI number — SOFYAN MORSHED TALEB RADAIDEH MD

Table of content: SOFYAN MORSHED TALEB RADAIDEH MD (NPI 1477711901)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1477711901 NPI number — SOFYAN MORSHED TALEB RADAIDEH MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
RADAIDEH
Provider First Name:
SOFYAN
Provider Middle Name:
MORSHED TALEB
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1477711901
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/18/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7951 E MAPLEWOOD AVE STE 300
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GREENWOOD VILLAGE
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80111-4726
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
303-930-7800
Provider Business Mailing Address Fax Number:
303-930-7860

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3676 PARKER BLVD STE 350
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PUEBLO
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
81008-2213
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
719-296-6000
Provider Business Practice Location Address Fax Number:
719-545-1146
Provider Enumeration Date:
05/31/2008

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207RH0003X , with the licence number:  49587 , registered in the state of CO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 37557874 , issued by the state of ( CO ) . This identifiers is of the category "MEDICAID".




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