Organization Active NPI

Sudacare Transportation

  • Secured Medical Transport (VAN)
  • Richardson, TX
National Provider Identifier
1548774201
Registry record updated Nov 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Secured Medical Transport (VAN)Taxonomy code 343800000X
Legal business name
SUDACARE TRANSPORTATION
Practice address
777 S Central Expy
Richardson, TX 75080-7411
Phone
(916) 370-8901
Fax
(972) 707-8312
NPI assigned
Nov 16, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2017

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

Authorized official

Name
Mr. Ghandi Isameldin Mohahmed VI, MD
Title
Presidant
Phone
(469) 867-3670

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Secured Medical Transport (VAN) 343800000X TX Primary

Addresses

Primary practice location

777 S Central Expy
Richardson, TX 75080-7411

Mailing address

777 S Central Expy
Richardson, TX 75080-7411
Phone (916) 370-8901

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1510790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510790400000",
    "number": "1548774201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 S CENTRAL EXPY",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750807411",
            "telephone_number": "916-370-8901",
            "fax_number": "972-707-8312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 S CENTRAL EXPY",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750807411",
            "telephone_number": "916-370-8901",
            "fax_number": "972-707-8312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUDACARE TRANSPORTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-16",
        "last_updated": "2017-11-16",
        "status": "A",
        "authorized_official_last_name": "MOHAHMED",
        "authorized_official_first_name": "GHANDI",
        "authorized_official_middle_name": "ISAMELDIN",
        "authorized_official_title_or_position": "PRESIDANT",
        "authorized_official_telephone_number": "469-867-3670",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "VI",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2017; 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.