Provider Demographics
NPI:1699576983
Name:SANTUR, MOHAMED HASSAN (NEMT)
Entity type:Individual
Prefix:
First Name:MOHAMED
Middle Name:HASSAN
Last Name:SANTUR
Suffix:
Gender:
Credentials:NEMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:544 ROUNDHOUSE ST
Mailing Address - Street 2:
Mailing Address - City:SHAKOPEE
Mailing Address - State:MN
Mailing Address - Zip Code:55379-3504
Mailing Address - Country:US
Mailing Address - Phone:313-454-7430
Mailing Address - Fax:
Practice Address - Street 1:544 ROUNDHOUSE ST
Practice Address - Street 2:
Practice Address - City:SHAKOPEE
Practice Address - State:MN
Practice Address - Zip Code:55379-3504
Practice Address - Country:US
Practice Address - Phone:313-454-7430
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-21
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN342000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes342000000XTransportation ServicesTransportation Network Company