Healthcare Provider Details

I. General information

NPI: 1730020421
Provider Name (Legal Business Name): GERGIS CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/04/2026
Last Update Date: 04/04/2026
Certification Date: 04/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9900 E 5TH AVE
AURORA CO
80010-4249
US

IV. Provider business mailing address

9900 E 5TH AVE
AURORA CO
80010-4249
US

V. Phone/Fax

Practice location:
  • Phone: 720-862-7684
  • Fax:
Mailing address:
  • Phone: 303-350-8926
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172A00000X
TaxonomyDriver
License Number
License Number State

VIII. Authorized Official

Name: TSEGAB A REDA
Title or Position: OWNER
Credential:
Phone: 303-350-8926