Provider Demographics
NPI:1396832960
Name:GHAIBEH, AMY EEMAN (MD)
Entity type:Individual
Prefix:DR
First Name:AMY
Middle Name:EEMAN
Last Name:GHAIBEH
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1805 SHEA CENTER DR STE 450
Mailing Address - Street 2:
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80129-2255
Mailing Address - Country:US
Mailing Address - Phone:720-493-9006
Mailing Address - Fax:
Practice Address - Street 1:9218 KIMMER DR STE 207
Practice Address - Street 2:
Practice Address - City:LONE TREE
Practice Address - State:CO
Practice Address - Zip Code:80124-6733
Practice Address - Country:US
Practice Address - Phone:720-493-9006
Practice Address - Fax:720-242-7520
Is Sole Proprietor?:No
Enumeration Date:2006-10-06
Last Update Date:2024-09-13
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Provider Licenses
StateLicense IDTaxonomies
CO39528207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO42086540Medicaid
CO42086540Medicaid
COCOA102188Medicare PIN