Organization
PETRA MEDICARE TRANSPORTATION LLC
Active
Other names
petra medicare transportation llc
Organization subpart
No
Provider details
NPI number
Authorized official
IBRAHIM KAKISH (OWNER)
(513) 405-6765
Entity
Organization
Contact information
Practice address
1425 W KEMPER RD, CINCINNATI, OH 45240-1630
(513) 405-6765
Mailing address
1425 W KEMPER RD, CINCINNATI, OH 45240-1630
(513) 405-6765
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
01/15/2020
Last updated
01/15/2020
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