NPI 1083454227

Shaib Omar Farouq

Practitioner Driver Aurora, CO

Practice location

Address: 1525 Dallas St, Aurora, CO 80010-2014
Phone: (303) 285-0250
Fax: (303) 285-0139
Mailing address: 1059 Racine St, Aurora, CO 80011-6323

Registered specialties (2)

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence 160810866 (CO)

Other Driver providers in Colorado →

Private Vehicle

Transportation Services Taxonomy 347C00000X Licence APHM56 (CO)

Other Private Vehicle providers in Colorado →

Registry record

NPI: 1083454227
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 May 2024
Record last updated: 27 May 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.