Provider Demographics
NPI:1790417384
Name:ADLAN, SAAD O
Entity Type:Individual
Prefix:
First Name:SAAD
Middle Name:O
Last Name:ADLAN
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 1:1582 S PARKER RD STE 212
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80231-2716
Mailing Address - Country:US
Mailing Address - Phone:720-477-9758
Mailing Address - Fax:
Practice Address - Street 1:1582 S PARKER RD STE 212
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80231-2716
Practice Address - Country:US
Practice Address - Phone:720-477-9758
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-30
Last Update Date:2022-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO842486375Medicaid