Individual
FATIMA BALLOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
274 UNION BLVD STE 110, LAKEWOOD, CO 80228-1836
(720) 536-2100
Mailing address
13901 E EXPOSITION AVE STE 202, AURORA, CO 80012-2535
(303) 327-4700
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125068755
IL
207RN0300X
Nephrology Physician
Primary
DR.0067590
CO
Other
Enumeration date
06/07/2016
Last updated
09/02/2025
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