FAYIZ MAHGOUB OD
NPI 1376202861
Student in an Organized Health Care Education/Training Program in Boulder, CO

Active since December 11, 2021
5305 SPINE RD STE B, BOULDER, CO 80301(970) 402-5789 Get Directions Write a Review

NPPES record last updated: December 11, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Male
  • Student in an Organized Health Care Educ...

About FAYIZ MAHGOUB

This page provides the complete NPI Profile along with additional information for Fayiz Mahgoub, a primary care provider established in Boulder, Colorado with a medical specialization in Student In An Organized Health Care Education/training Program. The healthcare provider is registered in the NPI registry with number 1376202861 assigned on December 2021. The practitioner's primary taxonomy code is 390200000X. The provider is registered as an individual and his NPI record was last updated 5 years ago.

NPI
1376202861 Verify this NPI
Provider Name
FAYIZ MAHGOUB OD
Gender
Male
Entity Type
Individual
Location Address
5305 SPINE RD STE B BOULDER, CO 80301
Location Phone
(970) 402-5789
Mailing Address
501 W PROSPECT RD APT 33B FORT COLLINS, CO 80526
Mailing Phone
(970) 402-5789
Is Sole Proprietor?
Yes
Enumeration Date
12-11-2021
Last Update Date
12-11-2021
Code Navigator

A primary care provider (PCP) like Fayiz Mahgoub sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Student in an Organized Health Care Education/Training Program

Taxonomy Code
390200000X
Type
Student, Health Care
Taxonomy Description
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Optometrist
5305 SPINE RD STE B
BOULDER, CO 80301
Optometrist
5305 SPINE RD STE B
BOULDER, CO 80301

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1376202861, enumerated as an "individual" on December 11, 2021.

The provider is located at 5305 SPINE RD STE B BOULDER, CO 80301 and the phone number is (970) 402-5789.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.