Individual
DR. BOBAKER SADDEK ELALEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.( MB BCH)
Contact information
Practice address
2550 S PARKER RD, SUITE 400, AURORA, CO 80014-1622
(303) 338-4545
Mailing address
10350 E DAKOTA AVE STE 400, DENVER, CO 80247-1314
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
0054790
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
026307
KAISER COMMERCIAL NUMBER
CO
05
—
22957758
—
CO
Enumeration date
05/19/2011
Last updated
05/10/2021
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