Organization Active NPI

King Tut Logistics

  • Non-emergency Medical Transport (VAN)
  • Charlotte, NC
National Provider Identifier
1205660941
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
KING TUT LOGISTICS
Doing business as
KTL Medical transportation
Practice address
215 Gracyn Olivia Dr Apt 406
Charlotte, NC 28262-6537
Phone
(817) 832-0366
NPI assigned
Aug 27, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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

Authorized official

Name
Mostafa Ibrahim Hassanein
Title
Medical Driver
Phone
(817) 832-0366

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

215 Gracyn Olivia Dr Apt 406
Charlotte, NC 28262-6537

Mailing address

215 Gracyn Olivia Dr Apt 406
Charlotte, NC 28262-6537

Other names 1

  • KTL Medical transportation Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1724716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724716800000",
    "number": "1205660941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 GRACYN OLIVIA DR APT 406",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282626537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 GRACYN OLIVIA DR APT 406",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282626537",
            "telephone_number": "817-832-0366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KING TUT LOGISTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-27",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A",
        "authorized_official_last_name": "HASSANEIN",
        "authorized_official_first_name": "MOSTAFA",
        "authorized_official_middle_name": "IBRAHIM",
        "authorized_official_title_or_position": "MEDICAL DRIVER",
        "authorized_official_telephone_number": "817-832-0366"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KTL Medical transportation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; 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.