Healthcare Provider Details

I. General information

NPI: 1023955788
Provider Name (Legal Business Name): MANAHIL TRANS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/30/2026
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6634 S 18TH LN
PHOENIX AZ
85041-5845
US

IV. Provider business mailing address

6634 S 18TH LN
PHOENIX AZ
85041-5845
US

V. Phone/Fax

Practice location:
  • Phone: 605-360-6329
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: MANAHIL ABOO
Title or Position: OWNER / MANAGER
Credential:
Phone: 605-360-6329