Provider Demographics
NPI:1386377919
Name:MUNDUS SERVICES LLC
Entity type:Organization
Organization Name:MUNDUS SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MUBARAK
Authorized Official - Middle Name:
Authorized Official - Last Name:BEHI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:415-619-7660
Mailing Address - Street 1:1900 CAMDEN AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95124-2944
Mailing Address - Country:US
Mailing Address - Phone:415-619-7660
Mailing Address - Fax:
Practice Address - Street 1:1900 CAMDEN AVE STE 101
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95124-2944
Practice Address - Country:US
Practice Address - Phone:415-619-7660
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-01
Last Update Date:2022-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)