MEDICARE: SOTC TRANSPORTATION LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1225834310
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOTC TRANSPORTATION LLC

Provider Business Mailing Address
First Line	:	16001 E RADCLIFF PL APT B
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80015-6301
Country	:	US
Telephone Number	:	720-589-1449
Fax Number	:

Provider Business Practice Location Address
First Line	:	5700 LINCOLN DR
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80216-1339
Country	:	US
Telephone Number	:	720-589-1449
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. AZIZ AHMAD KOHISTANY
Credential	:	TRANSPORTATION NEMT
Telephone Number	:	720-589-1449

Provider Enumeration Date	:	02/20/2025
Last Update Date	:	02/20/2025

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Directions to “SOTC TRANSPORTATION LLC ” Practice Location

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