MEDICARE: BILKIS TRANSPORTATION L.L.C.

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	:	1386452787
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BILKIS TRANSPORTATION L.L.C.

Provider Business Mailing Address
First Line	:	600 S DAYTON ST APT 4-305
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80247-1331
Country	:	US
Telephone Number	:	720-909-1587
Fax Number	:

Provider Business Practice Location Address
First Line	:	1525 DALLAS ST
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80010-2014
Country	:	US
Telephone Number	:	720-909-1587
Fax Number	:

Authorized Official
Title or Position	:	OWNER/MANAGER
Name	:	SHAIB OMAR FAROUQ
Credential	:	TRANS. PROVIDER
Telephone Number	:	720-909-1587

Provider Enumeration Date	:	12/19/2024
Last Update Date	:	12/19/2024

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