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Pakinam Aboutaleb

Student in an Organized Health Care Education/Training Program in Aurora, CO. Individual provider (NPI-1).

NPI number1629764295
StatusActive
Last updated in NPPESJul 8, 2025

Details

NPI
1629764295
Entity type
Individual (NPI-1)
Name
Pakinam Aboutaleb
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 17, 2023
Certification date
Jul 8, 2025
Last updated
Jul 8, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

12631 E 17th Ave
Aurora, CO 80045-2527

Phone 303-724-4330

Mailing address

12631 E 17th Ave
Aurora, CO 80045-2527

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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