MEDICARE: OBIKEL TRANSPORTATION LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)
2	347E00000X	Transportation Broker

General Provider Information

NPI Number	:	1164099164
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OBIKEL TRANSPORTATION LLC

Provider Business Mailing Address
First Line	:	1012 FALLON DR
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75071-1210
Country	:	US
Telephone Number	:	469-213-9052
Fax Number	:

Provider Business Practice Location Address
First Line	:	1012 FALLON DR
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75071-1210
Country	:	US
Telephone Number	:	469-213-9052
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MR. OBIOHA ALUKOGU
Credential	:
Telephone Number	:	469-213-9052

Provider Enumeration Date	:	06/08/2021
Last Update Date	:	06/08/2021

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Directions to “OBIKEL TRANSPORTATION LLC ” Practice Location

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