MEDICARE: ASHA FAQI

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	343900000X	Non-emergency Medical Transport (VAN)	485535	OH

General Provider Information

NPI Number	:	1164784773
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHA FAQI

Provider Business Mailing Address
First Line	:	6012 SUZANNE DR
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43612-4331
Country	:	US
Telephone Number	:	419-932-1130
Fax Number	:

Provider Business Practice Location Address
First Line	:	6012 SUZANNE DR
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43612-4331
Country	:	US
Telephone Number	:	419-932-1130
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/10/2012
Last Update Date	:	06/10/2012

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Directions to “ ASHA FAQI ” Practice Location

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