Organization
MD TRANSE L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KHALID M. OSMAN (OWNER/MANAGER)
(602) 295-8293
Entity
Organization
Contact information
Practice address
4372 W ALTA VISTA RD, LAVEEN, AZ 85339-6216
(602) 295-8293
(602) 273-8893
Mailing address
4372 W ALTA VISTA RD, LAVEEN, AZ 85339-6216
(602) 295-8293
(188) 878-3236
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
343900000X
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
254630
AHCCCS
AZ
Enumeration date
11/06/2007
Last updated
12/01/2009
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