Provider Demographics
NPI:1326881053
Name:REAL TRANSPORTATION LLC
Entity type:Organization
Organization Name:REAL TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:GLORIA
Authorized Official - Middle Name:J
Authorized Official - Last Name:BUKHARI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-302-9550
Mailing Address - Street 1:2107 HIGHWAY 169 S
Mailing Address - Street 2:
Mailing Address - City:FORT DODGE
Mailing Address - State:IA
Mailing Address - Zip Code:50501-8410
Mailing Address - Country:US
Mailing Address - Phone:515-302-9550
Mailing Address - Fax:
Practice Address - Street 1:2107 HIGHWAY 169 S
Practice Address - Street 2:
Practice Address - City:FORT DODGE
Practice Address - State:IA
Practice Address - Zip Code:50501-8410
Practice Address - Country:US
Practice Address - Phone:515-302-9550
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-19
Last Update Date:2024-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle