Medi-Take

Primary specialty

Transportation Network CompanyTaxonomy code 342000000X

Legal business name

MEDI-TAKE

Practice address

2704 Atrium Dr
Grand Prairie, TX 75052-7015

Phone

(469) 667-1390

NPI assigned

Jun 15, 2021

Last updated

Jun 15, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Siddig SiddigNPI 1851969984

Title

Ceo

Phone

(469) 667-1390

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Siddig Izzeldin Siddig

  • Contractor
  • Grand Prairie, TX
  • NPI 1851969984
  NPD Authorized official

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

{
    "created_epoch": "1623715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623715200000",
    "number": "1710555859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2704 ATRIUM DR",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750527015",
            "telephone_number": "469-667-1390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2704 ATRIUM DR",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750527015",
            "telephone_number": "469-667-1390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDI-TAKE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-15",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A",
        "authorized_official_last_name": "SIDDIG",
        "authorized_official_first_name": "SIDDIG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "469-667-1390",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "342000000X",
            "taxonomy_group": "",
            "desc": "Transportation Network Company",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Transportation Network Company in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• Transportation Network Company in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.

Verify at the official NPI Registry.