MEDICARE: NAZAR MUSA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343800000X	Secured Medical Transport (VAN)
2	261QA0600X	Adult Day Care Clinic/Center	396UQP	CO

General Provider Information

NPI Number	:	1619329828
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NAZAR MUSA

Provider Business Mailing Address
First Line	:	9365 E ARIZONA PL
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80247-2346
Country	:	US
Telephone Number	:	303-548-4328
Fax Number	:

Provider Business Practice Location Address
First Line	:	9365 E ARIZONA PL
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80247-2346
Country	:	US
Telephone Number	:	303-548-4328
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/12/2016
Last Update Date	:	08/16/2022

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Directions to “ NAZAR MUSA ” Practice Location

Language	Start Address	Practice Location

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