Healthcare Provider Details

I. General information

NPI: 1689522682
Provider Name (Legal Business Name): AHMED ALI TUAMA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/17/2026
Last Update Date: 03/17/2026
Certification Date: 03/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

320 SHADOW RIDGE GRV APT 428
COLORADO SPRINGS CO
80918-3935
US

IV. Provider business mailing address

320 SHADOW RIDGE GRV APT 428
COLORADO SPRINGS CO
80918-3935
US

V. Phone/Fax

Practice location:
  • Phone: 719-213-1965
  • Fax:
Mailing address:
  • Phone: 719-213-1965
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: