Provider Demographics
NPI:1881483428
Name:MOHAMMADI, RAHMATULLAH
Entity type:Individual
Prefix:
First Name:RAHMATULLAH
Middle Name:
Last Name:MOHAMMADI
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7110 MONTVIEW BLVD UNIT 204
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80220-1826
Mailing Address - Country:US
Mailing Address - Phone:720-695-6614
Mailing Address - Fax:
Practice Address - Street 1:4643 WADSWORTH BLVD.
Practice Address - Street 2:
Practice Address - City:WHEAT RIDGE
Practice Address - State:CO
Practice Address - Zip Code:80033
Practice Address - Country:US
Practice Address - Phone:303-425-0300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-01
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health