MEDICARE: M&M TRANSPORTATION LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	172A00000X	Driver

General Provider Information

NPI Number	:	1104798719
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	M&M TRANSPORTATION LLC

Provider Business Mailing Address
First Line	:	2541 42ND AVE S
Second Line	:
City	:	SAINT CLOUD
State	:	MN
Zip	:	56301-5489
Country	:	US
Telephone Number	:	651-364-0040
Fax Number	:	320-205-0668

Provider Business Practice Location Address
First Line	:	2541 42ND AVE S
Second Line	:
City	:	SAINT CLOUD
State	:	MN
Zip	:	56301-5489
Country	:	US
Telephone Number	:	651-364-0040
Fax Number	:	320-205-0668

Authorized Official
Title or Position	:	OWNER
Name	:	MR. MUHAMED A MAHAMUD JR.
Credential	:
Telephone Number	:	651-364-0040

Provider Enumeration Date	:	09/22/2025
Last Update Date	:	09/22/2025

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Directions to “M&M TRANSPORTATION LLC ” Practice Location

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