Individual provider · Type 1 NPI

Mikiyas Tesfaye Engdashet

Private Vehicle · Denver, CO

NPI number 1053916437 Active

Practice location

8001 E 11th Ave, 1311
Denver, CO 80220-8022

Call (303) 668-6807 Map

Specialties and licenses

TaxonomyCodeLicense
Private Vehicle Primary 347C00000XXOH148 (CO)

Private Vehicle: An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.

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About NPI 1053916437

Mikiyas Tesfaye Engdashet's National Provider Identifier is 1053916437, issued on Dec 2, 2020. The primary taxonomy on file is Private Vehicle (347C00000X), and the practice location is in Denver, CO. The record was last updated on Dec 2, 2020.