Provider Demographics
NPI:1487762167
Name:REFAAT, MOHAMED ZAKI AHMED (MD)
Entity type:Individual
Prefix:DR
First Name:MOHAMED ZAKI
Middle Name:AHMED
Last Name:REFAAT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:ZAKI
Other - Middle Name:
Other - Last Name:REFAAT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:2121 E HARMONY RD UNIT 100
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80528-3401
Mailing Address - Country:US
Mailing Address - Phone:970-221-1000
Mailing Address - Fax:970-297-6886
Practice Address - Street 1:2121 E HARMONY RD UNIT 100
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80528-3401
Practice Address - Country:US
Practice Address - Phone:970-221-1000
Practice Address - Fax:970-297-6844
Is Sole Proprietor?:No
Enumeration Date:2006-08-25
Last Update Date:2025-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA239552207RC0000X
NE31212207RC0000X, 207UN0901X
WY11805A207RC0000X, 207UN0901X
CO44945207UN0901X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207UN0901XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO50058355Medicaid
CO50058355Medicaid