Basic Information
Provider Information
NPI: 1386099232
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: NABIYAR
FirstName: ZULAIKHA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: RDH
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3701 S BROADWAY
Address2:  
City: ENGLEWOOD
State: CO
PostalCode: 801133611
CountryCode: US
TelephoneNumber: 3033606276
FaxNumber: 3037612787
Practice Location
Address1: 3292 PEORIA ST
Address2:  
City: AURORA
State: CO
PostalCode: 800101517
CountryCode: US
TelephoneNumber: 3033606276
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/28/2016
LastUpdateDate: 08/10/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
124Q00000XDH.002024381COY Dental ProvidersDental Hygienist 

No ID Information.


Home