Fazal Nouman Wahid, M.D.

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

5411 Issued in CO

Practice address

13001 E.17TH Place
University of Colorado School of Medicine Gme
Aurora, CO 80045-2581

Phone

(720) 777-5506

NPI assigned

Jul 24, 2014

Last updated

Jul 24, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1406160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406160000000",
    "number": "1700294618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13001 E.17TH PLACE",
            "address_2": "UNIVERSITY OF COLORADO SCHOOL OF MEDICINE GME",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800452581",
            "telephone_number": "720-777-5506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13001 E.17TH PLACE",
            "address_2": "UNIVERSITY OF COLORADO SCHOOL OF MEDICINE GME",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800452581",
            "telephone_number": "720-777-5506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAHID",
        "first_name": "FAZAL NOUMAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-24",
        "last_updated": "2014-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CO",
            "license": "5411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Ryan Wagner, MD
• Jennifer Wagner, R.N.
• Kaitlin Wagner, LPC
• Katharine Lyle Holmes Wagner, CPNP
• Day Wah
• Wahl Dental Group
• Matthew Patrick Wahl, MD
• Madison Leigh Wahler
• Rosemary Wahlquist, BCBA
• Dawn Wainright, RN

• Student in an Organized Health Care Education/Training Program in Aurora, CO
• Providers in Aurora, CO by specialty
• Student in an Organized Health Care Education/Training Program in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.