Doctor Name: | MR. KHALID MUTWAKIL HASSAN |
NPI Number: | 1386877678 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 443829 |
Business Practice Address: | 1710 S Jentilly Ln Apt 3 Tempe, AZ - 852815750 |
Business Phone Number: | 6023485754 |
Business Fax Number: | 6026067932 |
Mailing Address: | 1710 S Jentilly Ln, Apt 3 TEMPE |
State: | AZ |
Postal Code: | 852815750 |
Phone Number: | 6023485754 |
Fax Number: | 6026067932 |
NPI Enumeration Date: | 09/02/2009 |
NPI Last Update Date: | 09/02/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 343900000X |
License Number: | 443829 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Non-emergency Medical Transport (VAN) |
Taxonomy Specialization: | |
Taxonomy Definition: | A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. |