Healthcare Provider Details

I. General information

NPI: 1255246799
Provider Name (Legal Business Name): W'DRIVE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8400 S KYRENE RD STE 225A
TEMPE AZ
85284-2103
US

IV. Provider business mailing address

8400 S KYRENE RD STE 225A
TEMPE AZ
85284-2103
US

V. Phone/Fax

Practice location:
  • Phone: 678-725-9689
  • Fax: 480-546-4665
Mailing address:
  • Phone: 678-725-9689
  • Fax: 480-546-4665

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: OSAMA KHALIFA
Title or Position: OWNER
Credential: MR
Phone: 678-725-9689