MEDICARE: UPRIGHT TRANSPORT

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	342000000X	Transportation Network Company

General Provider Information

NPI Number	:	1538921887
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UPRIGHT TRANSPORT

Provider Business Mailing Address
First Line	:	2359 LOGAN AVE N
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55411-1974
Country	:	US
Telephone Number	:	612-327-6999
Fax Number	:

Provider Business Practice Location Address
First Line	:	2359 LOGAN AVE N
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55411-1974
Country	:	US
Telephone Number	:	612-327-6999
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. MOHAMED HASSAN OMAR
Credential	:
Telephone Number	:	612-327-6999

Provider Enumeration Date	:	01/23/2024
Last Update Date	:	01/23/2024

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