Healthcare Provider Details

I. General information

NPI: 1891293551
Provider Name (Legal Business Name): GCARTRANSPORTATION L.L.C
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/29/2018
Last Update Date: 01/29/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4214 JEFFESON AVE
NEWPORT NEWS VA
23607
US

IV. Provider business mailing address

4214 JEFFESON AVE
NEWPORT NEWS VA
23607
US

V. Phone/Fax

Practice location:
  • Phone: 757-266-1674
  • Fax:
Mailing address:
  • Phone: 757-266-1674
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code344600000X
TaxonomyTaxi
License NumberT60380782
License Number StateVA

VIII. Authorized Official

Name: MR. JAHAD HASSAN ALI
Title or Position: OPERATION MANGER
Credential:
Phone: 757-534-8922