Provider Demographics
NPI:1699921817
Name:ALAMDEW, YISFALEM W (MD)
Entity type:Individual
Prefix:DR
First Name:YISFALEM
Middle Name:W
Last Name:ALAMDEW
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9397 CROWN CREST BLVD STE 401
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80138-8789
Mailing Address - Country:US
Mailing Address - Phone:303-697-1636
Mailing Address - Fax:303-805-9948
Practice Address - Street 1:9397 CROWN CREST BLVD STE 401
Practice Address - Street 2:
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80138-8789
Practice Address - Country:US
Practice Address - Phone:303-697-1636
Practice Address - Fax:303-805-9948
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-08
Last Update Date:2018-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO49973207RN0300X
NY249882207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO43083382Medicaid
CO43083382Medicaid