MEDICARE: RAWAN ALZERKANI

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	:	1568325389
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAWAN ALZERKANI

Provider Business Mailing Address
First Line	:	4582 SUNSET DR
Second Line	:
City	:	CHARLOTTESVILLE
State	:	VA
Zip	:	22911-8493
Country	:	US
Telephone Number	:	434-760-5459
Fax Number	:

Provider Business Practice Location Address
First Line	:	4582 SUNSET DR
Second Line	:
City	:	CHARLOTTESVILLE
State	:	VA
Zip	:	22911-8493
Country	:	US
Telephone Number	:	434-760-5459
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/08/2025
Last Update Date	:	12/10/2025

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Directions to “ RAWAN ALZERKANI ” Practice Location

Language	Start Address	Practice Location

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