Almahal Awadalla

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

512800 Issued in AZ

Practice address

1868 E Broadway Rd
Tempe, AZ 85282-1641

Phone

(480) 570-6264

NPI assigned

Mar 31, 2011

Last updated

Mar 31, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1301529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301529600000",
    "number": "1700175676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1868 E BROADWAY RD",
            "address_2": "APT 510",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852821641",
            "telephone_number": "480-570-6264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1868 E BROADWAY RD",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852821641",
            "telephone_number": "480-570-6264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AWADALLA",
        "first_name": "ALMAHAL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-31",
        "last_updated": "2011-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "AZ",
            "license": "512800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Non-emergency Medical Transport (VAN) in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Non-emergency Medical Transport (VAN) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2011; 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.