Active NPI
Ahmed Mohammednur Raja
- Driver
- Nashville, TN
National Provider Identifier
1235809948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- 095273084
- Practice address
- 325 Plus Park Blvd Ste 101-G
Nashville, TN 37217-1022 - Phone
- (615) 975-8266
- NPI assigned
- Sep 14, 2021
- Last updated
- Oct 5, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | 095273084 | TN | Primary |
Addresses
Primary practice location
325 Plus Park Blvd Ste 101-G
Nashville, TN 37217-1022
Mailing address
804 Jamie Cir
Antioch, TN 37013-5218
Phone (615) 491-6995
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 095273084 | TN | MD | Driver |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abc Express Medical Trans, LLC | Current | Accepting new patients |
Locations
325 Plus Park Blvd
Ste 101G
Nashville, TN 37217
Phone (615) 946-4095
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Non-emergency Medical Transport (VAN)
- Antioch, TN
- NPI 1770253403
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633392000000",
"number": "1235809948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "804 JAMIE CIR",
"city": "ANTIOCH",
"state": "TN",
"postal_code": "370135218",
"telephone_number": "615-491-6995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 PLUS PARK BLVD STE 101-G",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372171022",
"telephone_number": "615-975-8266"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAJA",
"first_name": "AHMED",
"middle_name": "MOHAMMEDNUR",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-09-14",
"last_updated": "2021-10-05",
"certification_date": "2021-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "TN",
"license": "095273084",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.