Organization
INDY TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABRAHAM TESEAMARIAM GHIDAY (CEO)
(317) 457-5714
Entity
Organization
Contact information
Practice address
2936 E WASHINGTON ST APT 11, INDIANAPOLIS, IN 46201-4294
(317) 457-5714
Mailing address
2936 E WASHINGTON ST APT 11, INDIANAPOLIS, IN 46201-4294
(317) 457-5714
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
08/08/2019
Last updated
08/08/2019
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