Provider Demographics
NPI:1407508690
Name:FELEKE, BIZUYE MOHAMMED
Entity Type:Individual
Prefix:
First Name:BIZUYE
Middle Name:MOHAMMED
Last Name:FELEKE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1919 S HANNIBAL ST APT D
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80013-4088
Mailing Address - Country:US
Mailing Address - Phone:303-356-8134
Mailing Address - Fax:
Practice Address - Street 1:1919 S HANNIBAL ST APT D
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80013-4088
Practice Address - Country:US
Practice Address - Phone:303-356-8134
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-19
Last Update Date:2022-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide