Healthcare Provider Details

I. General information

NPI: 1710811195
Provider Name (Legal Business Name): MAKANGELS MEDICAL TRANSPORT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1551 E STOP 12 RD STE A
INDIANAPOLIS IN
46227-0987
US

IV. Provider business mailing address

1106 CHERRY TREE LN
GREENWOOD IN
46143-3824
US

V. Phone/Fax

Practice location:
  • Phone: 240-487-8098
  • Fax:
Mailing address:
  • Phone: 240-487-8098
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP2201X
TaxonomyAmbulatory Care Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: MAK KUSARE
Title or Position: MANAGING DIRECTOR
Credential:
Phone: 240-487-8098