Healthcare Provider Details

I. General information

NPI: 1407781313
Provider Name (Legal Business Name): OLIVRAS LUXE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7690 E WARREN CIR APT 9-101
DENVER CO
80231-5349
US

IV. Provider business mailing address

7690 E WARREN CIR APT 9-101
DENVER CO
80231-5349
US

V. Phone/Fax

Practice location:
  • Phone: 917-238-1256
  • Fax:
Mailing address:
  • Phone: 917-238-1256
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: ZEESHAN MALIK
Title or Position: OWNER
Credential:
Phone: 917-238-1256