Individual ProviderFaraeha FatimaStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address12801 E 17th Ave, Aurora, CO 80045(303) 724-9238(719) 595-7585PECOS EnrollmentBased on the most recent information from CMS, provider Faraeha Fatima does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 8:47 AM.Profile DetailsProvider ID1568037638Provider TypeIndividualFull NameFatima, FaraehaCredentialM.D.GenderFemaleSole ProprietorNoEnumeration Date5/21/2021Last Updated8/19/2024Contact InformationPractice LocationPractice Address12801 E 17th Ave, Aurora, CO 80045Phone(303) 724-9238Fax(719) 595-7589Mailing LocationMailing AddressMail Stop 8117 12801 E 17th Ave, Aurora, CO 80045Phone(719) 595-7585Fax(719) 595-7589Provider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseTL0010068ColoradoCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted IssuerColorado