Provider Demographics
NPI:1295014710
Name:ABUABA, ROMANO NTEELA (MD)
Entity Type:Individual
Prefix:DR
First Name:ROMANO
Middle Name:NTEELA
Last Name:ABUABA
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:7665 S EATON PARK CT
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80016-4293
Mailing Address - Country:US
Mailing Address - Phone:720-324-4777
Mailing Address - Fax:720-262-4788
Practice Address - Street 1:1550 S POTOMAC ST STE 110
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80012-5433
Practice Address - Country:US
Practice Address - Phone:720-324-4777
Practice Address - Fax:720-262-4788
Is Sole Proprietor?:No
Enumeration Date:2011-08-15
Last Update Date:2023-07-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO50289207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
COCOAAA2139Medicare PIN
CO16425235Medicaid