Healthcare Provider Details

I. General information

NPI: 1265356786
Provider Name (Legal Business Name): D QUEENS TRANSPORTATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4800 NANNIE HELEN BURROUGHS AVE NE APT 212
WASHINGTON DC
20019-3659
US

IV. Provider business mailing address

15305 GLASTONBURY WAY
UPPER MARLBORO MD
20774-8065
US

V. Phone/Fax

Practice location:
  • Phone: 202-695-4943
  • Fax:
Mailing address:
  • Phone: 202-695-4943
  • 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: GODWIN MBAHNWIE
Title or Position: CEO
Credential: MR
Phone: 202-695-4943