Provider Demographics
NPI:1407603657
Name:EAST NILE MEDICAL TRANSPORTATION LLC
Entity type:Organization
Organization Name:EAST NILE MEDICAL TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:OBAY
Authorized Official - Middle Name:
Authorized Official - Last Name:AHMED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-400-4626
Mailing Address - Street 1:1653 MERRIMAN RD STE 201D
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44313-5279
Mailing Address - Country:US
Mailing Address - Phone:310-400-4626
Mailing Address - Fax:
Practice Address - Street 1:1653 MERRIMAN RD STE 201D
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44313-5279
Practice Address - Country:US
Practice Address - Phone:310-400-4626
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-06
Last Update Date:2024-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)