IndividualActive
Alaa Bou Ghannam, M.D.
NPI 1508241209 · Ophthalmology Physician · Aurora, CO
Provider details
- NPI number
- 1508241209
- Entity type
- Individual
- Primary specialty
- Ophthalmology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- MTL002799 (DC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
13001 E 17th Pl
Aurora, CO 80045-2570
Phone: (303) 724-5000
Approximate (ZIP-level) locationGet directions
Mailing address
2131 Lawrence St Apt 606
Denver, CO 80205-2896
Registry dates
- Enumerated
- 2015-07-23
- Last updated
- 2016-06-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.