Healthcare Provider Details

I. General information

NPI: 1376335851
Provider Name (Legal Business Name): DARA TRANSPORTATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2025
Last Update Date: 05/20/2025
Certification Date: 05/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16425 S PARKER RD SUITE 114C
DENVE CO
80231
US

IV. Provider business mailing address

16425 S PARKER RD SUITE 114C
DENVE CO
80231
US

V. Phone/Fax

Practice location:
  • Phone: 720-422-4457
  • Fax:
Mailing address:
  • Phone: 720-422-4457
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code342000000X
TaxonomyTransportation Network Company
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code343800000X
TaxonomySecured Medical Transport (VAN)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number
License Number State

VIII. Authorized Official

Name: ABDULKADIR KASAHUN
Title or Position: OWNER/MANAGER
Credential:
Phone: 720-422-4457