MEDICARE: RK FOR 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)

General Provider Information

NPI Number	:	1538879952
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RK FOR TRANSPORTATION LLC

Provider Business Mailing Address
First Line	:	2710 ADRIENNE DR
Second Line	:
City	:	ANN ARBOR
State	:	MI
Zip	:	48103-4415
Country	:	US
Telephone Number	:	734-395-3276
Fax Number	:

Provider Business Practice Location Address
First Line	:	2710 ADRIENNE DR
Second Line	:
City	:	ANN ARBOR
State	:	MI
Zip	:	48103-4415
Country	:	US
Telephone Number	:	734-395-3276
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	RAWAND KHAILANY
Credential	:
Telephone Number	:	734-395-3276

Provider Enumeration Date	:	11/28/2022
Last Update Date	:	11/28/2022

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Directions to “RK FOR TRANSPORTATION LLC ” Practice Location

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