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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: August 09, 2026.

About Fayiz Mahgoub Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAYIZ MAHGOUB OD (NPI 1376202861) is an individual student in an organized health care education/training program in Boulder, Colorado and active in the NPI registry since December 2021.

NPPES Registry Identity

NPI1376202861
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameFAYIZ MAHGOUBCredential: OD
Location Address5305 SPINE RD STE BBoulder, CO 80301-3331
Mailing Address501 W Prospect Rd Apt 33bFort Collins, CO 80526-2052 · (970) 402-5789
Phone(970) 402-5789
Sole ProprietorYes
Enumeration DateDecember 11, 2021
NPPES CertifiedDecember 11, 2021
✔ NPI 1376202861 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
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.
5305 SPINE RD STE B, Boulder, CO 80301
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAWRENCE FLUSS O.D.
Optometrist
5305 SPINE RD STE B
BOULDER, CO 80301
Boulder County (303) 530-2020
BOULDER VISION ASSOCIATES, P.C., INC.
Optometrist
5305 SPINE RD STE B
BOULDER, CO 80301
Boulder County (303) 530-2020

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fayiz Mahgoub's NPI number?

The NPI number for Fayiz Mahgoub is 1376202861. It was assigned to this individual provider in the NPPES registry on December 11, 2021.

Where is Fayiz Mahgoub located?

Fayiz Mahgoub practices at 5305 Spine Rd Ste B, Boulder, CO 80301. The listed phone number is (970) 402-5789.

What is Fayiz Mahgoub's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Fayiz Mahgoub was last updated on December 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.