Provider Demographics
NPI:1154898518
Name:FOUAD ABOU NADER, MARIA (MD)
Entity type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:
Last Name:FOUAD ABOU NADER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MRS
Other - First Name:MARIA
Other - Middle Name:FOUAD
Other - Last Name:ABOU NADER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:13121 E 17TH AVE RM 4131
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80045-2535
Mailing Address - Country:US
Mailing Address - Phone:303-724-2393
Mailing Address - Fax:720-777-7324
Practice Address - Street 1:13121 E 17TH AVE RM 4131
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80045-2535
Practice Address - Country:US
Practice Address - Phone:303-724-2393
Practice Address - Fax:720-777-7324
Is Sole Proprietor?:No
Enumeration Date:2018-10-24
Last Update Date:2022-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODR.0069041390200000X, 208000000X, 390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics