Provider Demographics
NPI:1538021365
Name:RIDON TRANS LLC
Entity type:Organization
Organization Name:RIDON TRANS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMED
Authorized Official - Middle Name:
Authorized Official - Last Name:ABDELAZIM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-800-4022
Mailing Address - Street 1:1500 S SECOND ST STE 3
Mailing Address - Street 2:
Mailing Address - City:GALLUP
Mailing Address - State:NM
Mailing Address - Zip Code:87301-5898
Mailing Address - Country:US
Mailing Address - Phone:888-920-8883
Mailing Address - Fax:505-657-7527
Practice Address - Street 1:1500 S SECOND ST STE 3
Practice Address - Street 2:
Practice Address - City:GALLUP
Practice Address - State:NM
Practice Address - Zip Code:87301-5898
Practice Address - Country:US
Practice Address - Phone:888-920-8883
Practice Address - Fax:505-657-7527
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-12-01
Last Update Date:2025-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)