Individual provider Active NPI

Azim Akhmedov

  • Driver
  • Huntingdon Valley, PA
National Provider Identifier
1184960098
Registry record updated Dec 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DriverTaxonomy code 172A00000X
Practice address
3021 Franks Rd Ste 5
Huntingdon Valley, PA 19006-4216
Phone
(215) 825-5171
Fax
(215) 825-5057
NPI assigned
Dec 20, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X Primary

Addresses

Primary practice location

3021 Franks Rd Ste 5
Huntingdon Valley, PA 19006-4216

Mailing address

3021 Franks Rd Ste 5
Huntingdon Valley, PA 19006-4216
Phone (215) 825-5171

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Philadelphia Star Ambulance, Inc Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1355961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355961600000",
    "number": "1184960098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3021 FRANKS RD STE 5",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190064216",
            "telephone_number": "215-825-5171",
            "fax_number": "215-825-5057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3021 FRANKS RD STE 5",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190064216",
            "telephone_number": "215-825-5171",
            "fax_number": "215-825-5057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKHMEDOV",
        "first_name": "AZIM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-12-20",
        "last_updated": "2012-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntingdon Valley, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.