Organization
SUDAZONA MEDTRANS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUBARAK MOHAMMED ISHAG ADAM (OWNER)
(602) 517-9056
Entity
Organization
Contact information
Practice address
2601 W CLAREMONT ST APT 2065, PHOENIX, AZ 85017-6252
(602) 517-9056
Mailing address
2601 W CLAREMONT ST APT 2065, PHOENIX, AZ 85017-6252
(602) 517-9056
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
04/19/2023
Last updated
04/19/2023
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