Provider Demographics
NPI:1750838819
Name:ABDI, ABAS
Entity Type:Individual
Prefix:
First Name:ABAS
Middle Name:
Last Name:ABDI
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 1:1602 S PARKER RD
Mailing Address - Street 2:UNIT 112
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80231-2919
Mailing Address - Country:US
Mailing Address - Phone:720-535-6462
Mailing Address - Fax:
Practice Address - Street 1:1602 S PARKER RD
Practice Address - Street 2:UNIT 112
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80231-2919
Practice Address - Country:US
Practice Address - Phone:720-535-6462
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-07
Last Update Date:2016-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)