Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Avicenna Medical Supply

Organization Durable Medical Equipment & Medical Supplies · NPI 1275869158

Avicenna Medical Supply is a Durable Medical Equipment & Medical Supplies in Wheat Ridge, Colorado. Licensed in Colorado. Registered with an NPI since 2009.

Licensed in
CO
In the registry since
2009

Practice location Address checks out

4045 Wadsworth Blvd Unit # 308
Wheat Ridge, CO 80033-4642
Phone: (303) 388-7114
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Durable Medical Equipment & Medical Supplies (primary) Taxonomy 332B00000X (CO)

Record details

NPI number1275869158
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rostislav Vaisman — President · (303) 388-7114
NPI enumeratedOctober 27, 2009
Last updated in NPPESJuly 21, 2022
Mailing address4045 Wadsworth Blvd, Unit # 308, Wheat Ridge, CO 80033-4642

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