DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ALAA BOU GHANNAM, M.D.

Active Sole Proprietor

Ophthalmology · AURORA, CO

Registration Details

NPI Number
1508241209
Provider Type
Individual
Gender
Male
NPI Issued
Jul 23, 2015 (10.763817166024 yrs)
Last Updated
Jun 30, 2016
Licenses
MTL002799 (DC)
0116028520 (VA)
TL.0005920 (CO)
Sole Proprietor
Yes

Practice Information

Address
13001 E 17TH PL
AURORA, CO, 800452570
Browse CO providers · Browse ZIP 80045
Phone
3037245000
Primary Specialty
Ophthalmology
207W00000X
Additional Specialty
Ophthalmology
Additional Specialty
Ophthalmology

Other Ophthalmology Providers in AURORA, CO

Name Credential NPI
DR. KIM BURRELL DO 1053304089
DR. PAUL DAVID BALSTAD M.D. 1578544805
DR. JAMES RUSSELL BURCHAM III M.D. 1013974260
JENNIFER M GRIN M.D. 1760412266
STUART L FINE MD 1871523969
DR. DENNIS J OCONNELL D.O. 1396763652
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.