Provider Demographics
NPI:1699048678
Name:PANTIO MEDICAL TRANSPORTATION
Entity type:Organization
Organization Name:PANTIO MEDICAL TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:AHMED
Authorized Official - Middle Name:
Authorized Official - Last Name:ELKHEBRI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-929-0911
Mailing Address - Street 1:6441 FRENCHMENS DR
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22312-1647
Mailing Address - Country:US
Mailing Address - Phone:571-297-4552
Mailing Address - Fax:703-992-6592
Practice Address - Street 1:6441 FRENCHMENS DR
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22312-1647
Practice Address - Country:US
Practice Address - Phone:571-297-4552
Practice Address - Fax:703-992-6592
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-21
Last Update Date:2012-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC773343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC773OtherWASHINGTON METROPOLITAN TRANSIT COMMOSSION