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:
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Health care specialties

SpecialtyCodeLicense #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 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083902431 NPPES
Colorado MEDICAID 9000163537

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