Provider Demographics
NPI:1053138008
Name:ALEMU, SHWANGEZAW FEKADU
Entity type:Individual
Prefix:
First Name:SHWANGEZAW
Middle Name:FEKADU
Last Name:ALEMU
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 1:11844 E KEPNER DR
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80012-3292
Mailing Address - Country:US
Mailing Address - Phone:303-807-9549
Mailing Address - Fax:
Practice Address - Street 1:11844 E KEPNER DR
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80012-3292
Practice Address - Country:US
Practice Address - Phone:303-807-9549
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-23
Last Update Date:2024-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)