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

Derar Zakaryya Shanwan Albashaireh, MBBS

Individual provider Internal Medicine Physician · NPI 1083902431

Derar Zakaryya Shanwan Albashaireh, MBBS is an Interventional Cardiology in Pueblo, Colorado. Qualified in 2009, 17 years ago. Practices with Poudre Valley Medical Group LLC, a 2,416-clinician group and accepts Medicare assignment. Licensed in Colorado, Louisiana and Michigan.

Years since qualifying
17
Licensed in
CO, LA, MI
In the registry since
2011
Specialties on file
3
What do these letters mean?
MBBS — Bachelor of Medicine, Bachelor of Surgery
The medical degree awarded in the UK, India and many Commonwealth countries; equivalent to an MD.

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Practice location Address checks out

3670 Parker Blvd Ste 101
Pueblo, CO 81008-2285
Phone: (719) 562-2900
Fax: (719) 924-1592
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Cardiology Physician (primary) Taxonomy 207RI0011X · Licence DR.0060690 (CO)
Internal Medicine Physician Taxonomy 207R00000X · Licence MD.207044 (LA)
Internal Medicine Physician Taxonomy 207R00000X · Licence 4301098836 (MI)

Record details

NPI number1083902431
Entity typeIndividual (Type 1)
GenderMale
Credentials MBBS
Sole proprietorNo
NPI enumeratedJuly 19, 2011
Last updated in NPPESSeptember 10, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERVENTIONAL CARDIOLOGY
Also practisesCARDIOVASCULAR DISEASE (CARDIOLOGY), INTERNAL MEDICINE
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Poudre Valley Medical Group Llc — 2416 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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