Basic Information
Provider Information
NPI: 1043664527
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SALAHUDDIN
FirstName: TAUFIQ
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
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OtherLastNameType:  
Mailing Information
Address1: 13001 E 17TH PLACE
Address2: UNIVERSITY OF COLORADO SCHOOL OF MEDICINE GME
City: AURORA
State: CO
PostalCode: 800452581
CountryCode: US
TelephoneNumber: 3037241784
FaxNumber:  
Practice Location
Address1: 12605 E 16TH AVE
Address2:  
City: AURORA
State: CO
PostalCode: 800452545
CountryCode: US
TelephoneNumber: 3037241784
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/20/2016
LastUpdateDate: 02/19/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
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AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 02/19/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X62467CON Allopathic & Osteopathic PhysiciansInternal Medicine 
208M00000X62467COY Allopathic & Osteopathic PhysiciansHospitalist 

No ID Information.


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