DEREJE DADI AREDA
NPI 1568926236
Driver in San Jose, CA
Active since January 28, 2019
About Dereje Dadi Areda NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DEREJE DADI AREDA (NPI 1568926236) is an individual driver provider in San Jose, California, licensed in California (D7101939) and active in the NPI registry since January 2019.
NPPES Registry Identity
NPI1568926236
Entity TypeIndividualMale
Primary Taxonomy172A00000X
Provider Legal NameDEREJE DADI AREDA
Location Address360 MERIDIAN AVE APT 211San Jose, CA 95126-3460
Mailing Address360 Meridian Ave Apt 211San Jose, CA 95126-3460 · (408) 449-8182
Phone(408) 449-8182
Sole ProprietorYes
Enumeration DateJanuary 28, 2019
✔ NPI 1568926236 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyDriverOther Service Providers
Taxonomy Code172A00000X
License✔ Licensed in CA · D7101939
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
360 MERIDIAN AVE APT 211, San Jose, CA 95126
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1568926236, enumerated as an "individual" on January 28, 2019.
The provider is located at 360 MERIDIAN AVE APT 211 SAN JOSE, CA 95126 and the phone number is (408) 449-8182.
Driver with taxonomy code 172A00000X.
