Basic Information
| Provider Information | |||||||||
| NPI: | 1992918916 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | AL AMMARY | ||||||||
| FirstName: | FAWAZ | ||||||||
| MiddleName: | SAEED OMAR | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 13001 E 17TH PL | ||||||||
| Address2: | UNIVERSITY OF COLORADO DENVER SCHOOL OF MEDICINE GME | ||||||||
| City: | AURORA | ||||||||
| State: | CO | ||||||||
| PostalCode: | 800452570 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3034937245 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 13001 E 17TH PL | ||||||||
| Address2: | UNIVERSITY OF COLORADO DENVER SCHOOL OF MEDICINE GME | ||||||||
| City: | AURORA | ||||||||
| State: | CO | ||||||||
| PostalCode: | 800452570 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3034937245 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/07/2007 | ||||||||
| LastUpdateDate: | 09/27/2017 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 6287 | AK | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | MD433229 | PA | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | 35 . 090396 | OH | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | A99785 | CA | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207RN0300X | DR.0048953 | CO | N | Allopathic & Osteopathic Physicians | Internal Medicine | Nephrology | 208M00000X | 35 . 090396 | OH | N | Allopathic & Osteopathic Physicians | Hospitalist | 390200000X | N | Student, Health Care | Student in an Organized Health Care Education/Training Program | 208M00000X | D78764 | MD | Y | Allopathic & Osteopathic Physicians | Hospitalist |
No ID Information.