Healthcare Provider Details

I. General information

NPI: 1730879370
Provider Name (Legal Business Name): RIGHT WAY TRANS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2023
Last Update Date: 05/08/2023
Certification Date: 05/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1652 E DETROIT ST
CHANDLER AZ
85225-5216
US

IV. Provider business mailing address

1652 E DETROIT ST
CHANDLER AZ
85225-5216
US

V. Phone/Fax

Practice location:
  • Phone: 602-373-4960
  • Fax:
Mailing address:
  • Phone: 602-373-4960
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code344600000X
TaxonomyTaxi
License Number
License Number State

VIII. Authorized Official

Name: TARIG I ELKHALIFA
Title or Position: OWNER MANAGER
Credential:
Phone: 602-373-4960