Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alaa Bou Ghannam, MD

Individual provider Ophthalmology Physician · NPI 1508241209

Alaa Bou Ghannam, MD is an Ophthalmology Physician in Aurora, Colorado. Practices as a sole proprietor. Licensed in Colorado, District of Columbia and Virginia.

Licensed in
CO, DC, VA
In the registry since
2015
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

13001 E 17th Pl
Aurora, CO 80045-2570
Phone: (303) 724-5000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence TL.0005920 (CO)
Ophthalmology Physician Taxonomy 207W00000X · Licence MTL002799 (DC)
Ophthalmology Physician Taxonomy 207W00000X · Licence 0116028520 (VA)

Record details

NPI number1508241209
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 23, 2015
Last updated in NPPESJune 30, 2016

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