Individual
SOFYAN MORSHED TALEB RADAIDEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3676 PARKER BLVD STE 350, PUEBLO, CO 81008-2213
(719) 296-6000
(719) 545-1146
Mailing address
7951 E MAPLEWOOD AVE STE 300, GREENWOOD VILLAGE, CO 80111-4726
(303) 930-7800
(303) 930-7860
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
49587
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
37557874
—
CO
Enumeration date
05/31/2008
Last updated
03/18/2013
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