MEDICARE: SUNRAY 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	:	1841620713
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUNRAY TRANSPORTATION LLC

Provider Business Mailing Address
First Line	:	846 ACADEMY AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45205-1623
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	846 ACADEMY AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45205-1623
Country	:	US
Telephone Number	:	513-485-5361
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	HASHEEM RASHEED
Credential	:
Telephone Number	:	513-485-5361

Provider Enumeration Date	:	11/13/2013
Last Update Date	:	11/13/2013

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Directions to “SUNRAY TRANSPORTATION LLC ” Practice Location

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