Individual
SAMEERA F FAREED-FARRUKH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
175 S UNION BLVD STE 350, COLORADO SPRINGS, CO 80910-3146
(719) 633-5515
Mailing address
2695 ROCKY MOUNTAIN AVE STE 150, LOVELAND, CO 80538-9071
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
8201
NV
207R00000X
Internal Medicine Physician
7760A
WY
207R00000X
Internal Medicine Physician
8201
NV
207R00000X
Internal Medicine Physician
Primary
DR.0069803
CO
207R00000X
Internal Medicine Physician
MD00045691
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002017004
—
NV
01
—
8201
STATE MEDICAL LICENSE
NV
01
—
DR.0069803
STATE MEDICAL LICENSE
CO
01
—
MD00045691
STATE MEDICAL LICENSE
WA
Enumeration date
09/23/2005
Last updated
06/05/2023
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