Healthcare Provider Details

I. General information

NPI: 1982927042
Provider Name (Legal Business Name): AMERICAB TRANSPORTATION, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/03/2010
Last Update Date: 03/03/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2002 W MARSHALL AVE
PHOENIX AZ
85015-2415
US

IV. Provider business mailing address

2002 W MARSHALL AVE
PHOENIX AZ
85015-2415
US

V. Phone/Fax

Practice location:
  • Phone: 602-336-0000
  • Fax:
Mailing address:
  • Phone: 602-336-0000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code344600000X
TaxonomyTaxi
License Number34424
License Number StateAZ

VIII. Authorized Official

Name: MR. ABDIFATAH MOHAMED
Title or Position: PRESIDENT
Credential:
Phone: 602-336-0000