Provider Demographics
NPI:1871305722
Name:KOHISTANY, AZIZ AHMAD (TRANSPORTATION)
Entity type:Individual
Prefix:MR
First Name:AZIZ
Middle Name:AHMAD
Last Name:KOHISTANY
Suffix:
Gender:M
Credentials:TRANSPORTATION
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16001 E RADCLIFF PL APT B
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80015-6301
Mailing Address - Country:US
Mailing Address - Phone:720-589-1449
Mailing Address - Fax:
Practice Address - Street 1:16001 E RADCLIFF PL APT B
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80015-6301
Practice Address - Country:US
Practice Address - Phone:720-589-1449
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-27
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO20251097345343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)