Provider Demographics
NPI:1912727637
Name:TESFAY, RAHWA BERHANE
Entity type:Individual
Prefix:
First Name:RAHWA
Middle Name:BERHANE
Last Name:TESFAY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1074 S IRONTON ST UNIT E
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80012-3005
Mailing Address - Country:US
Mailing Address - Phone:408-401-6369
Mailing Address - Fax:
Practice Address - Street 1:939 S CARSON CT
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80012-3682
Practice Address - Country:US
Practice Address - Phone:408-401-6369
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-16
Last Update Date:2024-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes342000000XTransportation ServicesTransportation Network Company