Healthcare Provider Details

I. General information

NPI: 1669098752
Provider Name (Legal Business Name): CHENU & D TRANSPORTATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2020
Last Update Date: 06/24/2020
Certification Date: 06/24/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8525 FLOYD CURL DR APT 802
SAN ANTONIO TX
78240-1519
US

IV. Provider business mailing address

8525 FLOYD CURL DR APT 802
SAN ANTONIO TX
78240-1519
US

V. Phone/Fax

Practice location:
  • Phone: 845-248-2188
  • Fax:
Mailing address:
  • Phone: 845-248-2188
  • 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: MR. SRIMADIPATI SUSIL THALGAHAGODA
Title or Position: OWNER
Credential:
Phone: 845-248-2188