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Organization

KHULON1

Active
Parent organization
KHULON1
Other names
Abik Healthcare Servicers, Inc.
Organization subpart
Yes

Provider details

NPI number
Legal business name
KHULON1
Authorized official
KEVIN IBEKWE ONWUDIWE CEO (ADMINISTRATOR)
(301) 277-7776
Entity
Organization

Contact information

Practice address
6103 BALTIMORE AVE STE 203, RIVERDALE, MD 20737-1966
(301) 277-7776
(301) 277-7782
Mailing address
6103 BALTIMORE AVE STE 203, RIVERDALE, MD 20737-1966
(301) 277-7776
(301) 277-7782

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
WMATC 971
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
027801700
MD
05
036172400
DC
Enumeration date
06/16/2008
Last updated
10/09/2018
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