MEDICARE: MR. MOHAMMAD SHAUKAT ALI

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)

General Provider Information

NPI Number	:	1356738975
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. MOHAMMAD SHAUKAT ALI

Provider Business Mailing Address
First Line	:	2739 BLUE MIST DR
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77498-4869
Country	:	US
Telephone Number	:	281-704-5835
Fax Number	:

Provider Business Practice Location Address
First Line	:	2739 BLUE MIST DR
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77498-4869
Country	:	US
Telephone Number	:	281-704-5835
Fax Number	:

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

Provider Enumeration Date	:	04/21/2015
Last Update Date	:	04/21/2015

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