Provider Demographics
NPI:1801692710
Name:ALSAMAIN, GHENA FAREED
Entity type:Individual
Prefix:
First Name:GHENA
Middle Name:FAREED
Last Name:ALSAMAIN
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8011 E 139TH AVE
Mailing Address - Street 2:
Mailing Address - City:THORNTON
Mailing Address - State:CO
Mailing Address - Zip Code:80602-8139
Mailing Address - Country:US
Mailing Address - Phone:720-324-0698
Mailing Address - Fax:
Practice Address - Street 1:8011 E 139TH AVE
Practice Address - Street 2:
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80602-8139
Practice Address - Country:US
Practice Address - Phone:720-324-0698
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-21
Last Update Date:2025-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program