Healthcare Provider Details

I. General information

NPI: 1184147399
Provider Name (Legal Business Name): NATIONWIDE TAXI INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/19/2017
Last Update Date: 07/19/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3900 VAWTER AVE
RICHMOND VA
23222-2328
US

IV. Provider business mailing address

3900 VAWTER AVE
RICHMOND VA
23222-2328
US

V. Phone/Fax

Practice location:
  • Phone: 804-245-1199
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code344600000X
TaxonomyTaxi
License Number
License Number State

VIII. Authorized Official

Name: ELGHOTOB DAH
Title or Position: OWNER
Credential:
Phone: 804-245-1199