MEDICARE: WAEL ABDELSALAM

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)	41989261	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1245611409
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WAEL ABDELSALAM

Provider Business Mailing Address
First Line	:	1334 S KITTREDGE ST
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80017-4010
Country	:	US
Telephone Number	:	303-503-3838
Fax Number	:

Provider Business Practice Location Address
First Line	:	1334 S KITTREDGE ST
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80017-4010
Country	:	US
Telephone Number	:	303-503-3838
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/13/2015
Last Update Date	:	11/06/2022

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Directions to “ WAEL ABDELSALAM ” Practice Location

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