Provider Demographics
NPI:1518164300
Name:AHMED-TAHA, RIHAB (MD)
Entity Type:Individual
Prefix:DR
First Name:RIHAB
Middle Name:
Last Name:AHMED-TAHA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:535 16TH ST STE 750
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80202-4228
Mailing Address - Country:US
Mailing Address - Phone:303-382-5464
Mailing Address - Fax:303-825-3215
Practice Address - Street 1:10103 RIDGEGATE PKWY STE 203
Practice Address - Street 2:
Practice Address - City:LONE TREE
Practice Address - State:CO
Practice Address - Zip Code:80124-5525
Practice Address - Country:US
Practice Address - Phone:303-327-4711
Practice Address - Fax:303-327-4711
Is Sole Proprietor?:No
Enumeration Date:2007-06-27
Last Update Date:2020-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO48374207R00000X
CODR0048374207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO020426OtherKAISER COMMERCIAL NUMBER
CO020426OtherKAISER COMMERCIAL NUMBER
COCOA103706Medicare PIN