Elmi Alasow

Individual provider Active NPI Non-emergency Medical Transport (VAN) · Laveen, AZ

NPI 1508329350 · NPPES record last updated Apr 9, 2019

Key facts

NPI
1508329350
Entity type
Individual (NPI type 1)
Primary specialty
Non-emergency Medical Transport (VAN) 343900000X
Practice address
5134 W Apollo Rd
Laveen, AZ 85339-6909
Phone
(602) 517-7077
NPI assigned
Apr 9, 2019
Sex
Male
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

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

Addresses

Primary practice location

5134 W Apollo Rd
Laveen, AZ 85339-6909

Mailing address

5134 West Apollo Road
Phoenix, AZ 85339
Phone (602) 517-7077

Other providers in Laveen, AZ

All providers in Laveen, AZ · Non-emergency Medical Transport (VAN) in Arizona

Sources for this page

Verify at the official NPI Registry.