Provider Demographics
NPI:1285402545
Name:KING, PHALANDERS RASHAAD
Entity type:Individual
Prefix:
First Name:PHALANDERS
Middle Name:RASHAAD
Last Name:KING
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 1:736 UNION ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70130-3108
Mailing Address - Country:US
Mailing Address - Phone:315-730-0985
Mailing Address - Fax:
Practice Address - Street 1:736 UNION ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70130-3108
Practice Address - Country:US
Practice Address - Phone:315-730-0985
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-15
Last Update Date:2023-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)