Provider Demographics
NPI:1063995215
Name:ROYAL MEDICAL TRANSPORTATION
Entity type:Organization
Organization Name:ROYAL MEDICAL TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:UBAH
Authorized Official - Middle Name:MOHAMED
Authorized Official - Last Name:JAMA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-426-4326
Mailing Address - Street 1:2586 TILLER LN STE 2C
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43231-2265
Mailing Address - Country:US
Mailing Address - Phone:614-426-4326
Mailing Address - Fax:614-426-4325
Practice Address - Street 1:2586 TILLER LN STE 2C
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43231-2265
Practice Address - Country:US
Practice Address - Phone:614-426-4326
Practice Address - Fax:614-426-4325
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-13
Last Update Date:2018-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH=========Medicaid