Provider Demographics
NPI:1992573158
Name:ABDALOVA, FERUZA
Entity type:Individual
Prefix:MS
First Name:FERUZA
Middle Name:
Last Name:ABDALOVA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15200 E GIRARD AVE STE 3250
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-5023
Mailing Address - Country:US
Mailing Address - Phone:720-212-5391
Mailing Address - Fax:
Practice Address - Street 1:15200 E GIRARD AVE STE 3250
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-5023
Practice Address - Country:US
Practice Address - Phone:720-212-5391
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-18
Last Update Date:2024-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO04HQ6M253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care