Provider Demographics
NPI:1063059913
Name:SHIVA TRANSPORTATION SERVICES LLC
Entity type:Organization
Organization Name:SHIVA TRANSPORTATION SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMED
Authorized Official - Middle Name:
Authorized Official - Last Name:EL FATIMI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:857-222-2190
Mailing Address - Street 1:900 BROADWAY STE 3
Mailing Address - Street 2:
Mailing Address - City:REVERE
Mailing Address - State:MA
Mailing Address - Zip Code:02151-4464
Mailing Address - Country:US
Mailing Address - Phone:857-707-2018
Mailing Address - Fax:
Practice Address - Street 1:900 BROADWAY STE 3
Practice Address - Street 2:
Practice Address - City:REVERE
Practice Address - State:MA
Practice Address - Zip Code:02151-4464
Practice Address - Country:US
Practice Address - Phone:857-707-2018
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-10
Last Update Date:2019-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi