Healthcare Provider Details

I. General information

NPI: 1740107267
Provider Name (Legal Business Name): MENARA MED LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4645 NW 52ND ST
DES MOINES IA
50310-2002
US

IV. Provider business mailing address

4645 NW 52ND ST
DES MOINES IA
50310-2002
US

V. Phone/Fax

Practice location:
  • Phone: 515-514-0592
  • Fax:
Mailing address:
  • Phone: 515-514-0592
  • 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: JAMAL EDDIN DEBBAGH
Title or Position: OWNER/MANAGER MEMBER
Credential:
Phone: 515-452-6936