Provider Demographics
NPI:1578338612
Name:MOHAMED, SALAH E
Entity Type:Individual
Prefix:
First Name:SALAH
Middle Name:E
Last Name:MOHAMED
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 1:9999 E YALE AVE APT D211
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80231-6605
Mailing Address - Country:US
Mailing Address - Phone:303-856-6273
Mailing Address - Fax:
Practice Address - Street 1:6658 BETHESDA PT UNIT C
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80918-1070
Practice Address - Country:US
Practice Address - Phone:303-856-6273
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-20
Last Update Date:2023-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi