Individual
FEROUGG KHAALIQ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1635 AURORA CT, AURORA, CO 80045-2541
(720) 848-0000
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA.0006875
CO
363AM0700X
Medical Physician Assistant
Primary
PA.0006875
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/07/2021
Last updated
11/18/2022
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