Provider Demographics
NPI:1578070256
Name:DAOUD, BASEEM (MD)
Entity Type:Individual
Prefix:DR
First Name:BASEEM
Middle Name:
Last Name:DAOUD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1381 LANDER LN
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:CO
Mailing Address - Zip Code:80026-8010
Mailing Address - Country:US
Mailing Address - Phone:720-534-0792
Mailing Address - Fax:
Practice Address - Street 1:KING FAHAD MEDICAL CITY
Practice Address - Street 2:
Practice Address - City:RIYADH
Practice Address - State:CENTRAL
Practice Address - Zip Code:11525
Practice Address - Country:SA
Practice Address - Phone:055-336-0905
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-04
Last Update Date:2018-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS14031207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine