Healthcare Provider Details

I. General information

NPI: 1912801010
Provider Name (Legal Business Name): ZEKERIA MOHAMED KEDIR
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1281 S ULSTER ST UNIT 214
DENVER CO
80231-2724
US

IV. Provider business mailing address

1281 S ULSTER ST UNIT 214
DENVER CO
80231-2724
US

V. Phone/Fax

Practice location:
  • Phone: 720-955-7297
  • Fax:
Mailing address:
  • Phone: 720-955-7297
  • 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: