Provider Demographics
NPI:1962013250
Name:HAMDAN, OSMAN M
Entity Type:Individual
Prefix:MR
First Name:OSMAN
Middle Name:M
Last Name:HAMDAN
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 1:3640 RICHMOND DR
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80922-1353
Mailing Address - Country:US
Mailing Address - Phone:720-404-0710
Mailing Address - Fax:
Practice Address - Street 1:3640 RICHMOND DR
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80922-1353
Practice Address - Country:US
Practice Address - Phone:720-404-0710
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-11
Last Update Date:2020-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347E00000XTransportation ServicesTransportation Broker