1528438082 NPI number — YONAS TADESSE TAYE

Table of content: YONAS TADESSE TAYE (NPI 1528438082)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1528438082 NPI number — YONAS TADESSE TAYE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
TAYE
Provider First Name:
YONAS
Provider Middle Name:
TADESSE
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1528438082
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/28/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8680 E ALAMEDA AVE UNIT# 1606
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DENVER
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80247
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
720-298-8697
Provider Business Mailing Address Fax Number:
303-343-2764

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8680 E ALAMEDA AVE UNIT# 1606
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DENVER
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80247
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
720-298-8697
Provider Business Practice Location Address Fax Number:
303-343-2764
Provider Enumeration Date:
09/28/2015

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 343900000X , with the licence number:  20151511685 , registered in the state of CO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)