MEDICARE: RAJS 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	341600000X	Ambulance

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1861579674
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RAJS TRANSPORT

Provider Business Mailing Address
First Line	:	639 RILEY FORD LANE
Second Line	:
City	:	STOCKTON
State	:	CA
Zip	:	95206-6289
Country	:	US
Telephone Number	:	209-983-1681
Fax Number	:	209-983-0428

Provider Business Practice Location Address
First Line	:	639 RILEY FORD LANE
Second Line	:
City	:	STOCKTON
State	:	CA
Zip	:	95206-6289
Country	:	US
Telephone Number	:	209-983-1681
Fax Number	:	209-983-0428

Authorized Official
Title or Position	:	OWNER
Name	:	MR. RAJENDRA KUMAR
Credential	:
Telephone Number	:	209-983-1681

Provider Enumeration Date	:	11/01/2006
Last Update Date	:	08/01/2008

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Directions to “RAJS TRANSPORT ” Practice Location

Language	Start Address	Practice Location

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