Provider Demographics
NPI:1457040628
Name:JUMA, ALI MOHAMMED (NEMT)
Entity type:Individual
Prefix:
First Name:ALI
Middle Name:MOHAMMED
Last Name:JUMA
Suffix:
Gender:M
Credentials:NEMT
Other - Prefix:
Other - First Name:ALI
Other - Middle Name:M
Other - Last Name:JUMA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NEMT
Mailing Address - Street 1:8114 E OSBORN RD
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85251-5816
Mailing Address - Country:US
Mailing Address - Phone:602-487-3499
Mailing Address - Fax:
Practice Address - Street 1:8114 E OSBORN RD
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85251-5816
Practice Address - Country:US
Practice Address - Phone:602-487-3499
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-03
Last Update Date:2023-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)