Active NPI
King Tut Logistics
- Non-emergency Medical Transport (VAN)
- Charlotte, NC
National Provider Identifier
1205660941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryNPI 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.