Provider Demographics
NPI:1295318814
Name:ALFORAIHI, ABDULLA A
Entity type:Individual
Prefix:
First Name:ABDULLA
Middle Name:A
Last Name:ALFORAIHI
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 1:22474 E WEAVER DR
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80016-7000
Mailing Address - Country:US
Mailing Address - Phone:720-381-9938
Mailing Address - Fax:
Practice Address - Street 1:22474 E WEAVER DR
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80016-7000
Practice Address - Country:US
Practice Address - Phone:720-381-9938
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-02
Last Update Date:2021-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)