Provider Demographics
NPI:1811729064
Name:AMY EEMAN GHAIBEH MD LLC
Entity type:Organization
Organization Name:AMY EEMAN GHAIBEH MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN / OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:E
Authorized Official - Last Name:GHAIBEH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:720-218-4987
Mailing Address - Street 1:1420 W CANAL CT STE 100
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80120-5656
Mailing Address - Country:US
Mailing Address - Phone:720-639-6359
Mailing Address - Fax:303-791-2241
Practice Address - Street 1:1420 W CANAL CT STE 100
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80120-5656
Practice Address - Country:US
Practice Address - Phone:720-639-6359
Practice Address - Fax:303-791-2241
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-16
Last Update Date:2024-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty