Individual
GHASSAN MOHAMED GHUNEIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5920 MCINTYRE ST, GOLDEN, CO 80403-7445
(720) 434-4876
(303) 225-4246
Mailing address
5920 MCINTYRE ST, GOLDEN, CO 80403-7445
(720) 434-4876
(303) 225-4246
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2000-193
NM
207Q00000X
Family Medicine Physician
Primary
DR.0051042
CO
208M00000X
Hospitalist Physician
DR.0051042
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
49056379
—
CO
01
—
P01330332
RAIL ROAD MEDICARE
CO
Enumeration date
07/22/2006
Last updated
01/09/2020
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