Provider Demographics
NPI:1073332664
Name:MAALIN, YAHYE SALAT
Entity type:Individual
Prefix:
First Name:YAHYE
Middle Name:SALAT
Last Name:MAALIN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5562 ALTOS CT APT B
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43231-3048
Mailing Address - Country:US
Mailing Address - Phone:505-627-7530
Mailing Address - Fax:
Practice Address - Street 1:5562 ALTOS CT APT B
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43231-3048
Practice Address - Country:US
Practice Address - Phone:505-627-7530
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-09
Last Update Date:2024-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM383621343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)