Healthcare Provider Details

I. General information

NPI: 1245144369
Provider Name (Legal Business Name): ABDISALAAM J AHMED
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2590 WELTON ST STE 200
DENVER CO
80205-4268
US

IV. Provider business mailing address

2590 WELTON ST STE 200
DENVER CO
80205-4268
US

V. Phone/Fax

Practice location:
  • Phone: 720-364-4876
  • Fax:
Mailing address:
  • Phone: 720-364-4876
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: