Provider Demographics
NPI:1194407437
Name:WASHINGTON MEDICAL TRANSPORTATION LLC
Entity type:Organization
Organization Name:WASHINGTON MEDICAL TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AVINASH
Authorized Official - Middle Name:
Authorized Official - Last Name:KASTURI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-674-9990
Mailing Address - Street 1:8816 JERICHO CITY DR
Mailing Address - Street 2:
Mailing Address - City:NORTH ENGLEWOOD
Mailing Address - State:MD
Mailing Address - Zip Code:20785-4762
Mailing Address - Country:US
Mailing Address - Phone:310-456-0500
Mailing Address - Fax:
Practice Address - Street 1:8816 JERICHO CITY DR
Practice Address - Street 2:
Practice Address - City:NORTH ENGLEWOOD
Practice Address - State:MD
Practice Address - Zip Code:20785-4762
Practice Address - Country:US
Practice Address - Phone:301-456-0500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-04
Last Update Date:2024-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes341600000XTransportation ServicesAmbulanceGroup - Multi-Specialty