Organization
MEDTRANSPORT-512 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAHMOOD HUSSAIN KHAN (PRESIDENT)
(402) 612-3688
Entity
Organization
Contact information
Practice address
105 S 38TH ST APT 191, COUNCIL BLUFFS, IA 51501-3385
(402) 612-3688
Mailing address
105 S 38TH ST APT 191, COUNCIL BLUFFS, IA 51501-3385
(402) 612-3688
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
01/18/2024
Last updated
04/12/2024
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