Provider Demographics
NPI:1174491146
Name:HUMAIDI, SALAH AHMED
Entity type:Individual
Prefix:
First Name:SALAH
Middle Name:AHMED
Last Name:HUMAIDI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1421 S BUCHANAN CIR
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80018-6007
Mailing Address - Country:US
Mailing Address - Phone:719-766-2333
Mailing Address - Fax:
Practice Address - Street 1:1421 S BUCHANAN CIR
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80018-6007
Practice Address - Country:US
Practice Address - Phone:719-766-2333
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-29
Last Update Date:2025-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CONA.00836970376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide