Provider Demographics
NPI:1083007017
Name:COURTEOUS HEALTHCARE INC
Entity type:Organization
Organization Name:COURTEOUS HEALTHCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MALAL
Authorized Official - Middle Name:
Authorized Official - Last Name:AHMADZAI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:510-756-8512
Mailing Address - Street 1:2439 ASCENSION DR
Mailing Address - Street 2:
Mailing Address - City:SAN RAMON
Mailing Address - State:CA
Mailing Address - Zip Code:94583-1931
Mailing Address - Country:US
Mailing Address - Phone:510-786-8212
Mailing Address - Fax:
Practice Address - Street 1:2551 SAN RAMON VALLEY BLVD
Practice Address - Street 2:SUITE 205
Practice Address - City:SAN RAMON
Practice Address - State:CA
Practice Address - Zip Code:94583-1614
Practice Address - Country:US
Practice Address - Phone:510-786-8212
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-16
Last Update Date:2015-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health