Individual
AHMED M OSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3113 W DESERT LN, LAVEEN, AZ 85339-3829
(480) 531-3419
Mailing address
3113 W DESERT LN, LAVEEN, AZ 85339-3829
(480) 531-3419
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
86063061
AZ
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
440016
—
AZ
Enumeration date
10/02/2009
Last updated
05/11/2023
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