Organization
SANDIA TRANSPORTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FARIDOUN VERIYANI (OWNER)
(505) 369-1448
Entity
Organization
Contact information
Practice address
4414 4TH ST NW, ALBUQUERQUE, NM 87107-3933
(505) 369-1448
Mailing address
4414 4TH ST NW, ALBUQUERQUE, NM 87107-3933
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
56562
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35039264
—
NM
Enumeration date
10/22/2014
Last updated
10/22/2014
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