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NPI Code Detail

MEDICARE: WASHINGTON MEDICAL TRANSPORTATION LLC

MEDICARE: WASHINGTON MEDICAL 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
1341600000XAmbulance

General Provider Information

NPI Number : 1194407437
Entity Type Code : Organization
Provider Name (Legal Business Name) : WASHINGTON MEDICAL TRANSPORTATION LLC
Provider Business Mailing Address
First Line : 8816 JERICHO CITY DR
Second Line :
City : NORTH ENGLEWOOD
State : MD
Zip : 20785-4762
Country : US
Telephone Number : 310-456-0500
Fax Number :
Provider Business Practice Location Address
First Line : 8816 JERICHO CITY DR
Second Line :
City : NORTH ENGLEWOOD
State : MD
Zip : 20785-4762
Country : US
Telephone Number : 301-456-0500
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : AVINASH KASTURI
Credential :
Telephone Number : 703-674-9990
Provider Enumeration Date : 08/04/2023
Last Update Date : 01/02/2024

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Directions to “WASHINGTON MEDICAL TRANSPORTATION LLC ” Practice Location

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