Healthcare Provider Details

I. General information

NPI: 1104748276
Provider Name (Legal Business Name): MWM TRANSPORTATION SOLUTION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5511 HOME VALLEY DR APT 3015
RALEIGH NC
27612-4469
US

IV. Provider business mailing address

5511 HOME VALLEY DR APT 3015
RALEIGH NC
27612-4469
US

V. Phone/Fax

Practice location:
  • Phone: 919-771-6040
  • Fax:
Mailing address:
  • Phone: 919-771-6040
  • Fax: 919-771-6040

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: MR. ELMUATAZ OSMAN AWADELKARIM ALI
Title or Position: MEMBER
Credential:
Phone: 919-771-6040