Individual provider Active NPI

Abdullah I Mohamad

  • Transportation Network Company
  • Tucson, AZ
National Provider Identifier
1902597719
Registry record updated May 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Transportation Network CompanyTaxonomy code 342000000X
Practice address
1700 W Prince Rd Apt 2058
Tucson, AZ 85705-3068
Phone
(520) 792-5501
Fax
(520) 413-1017
NPI assigned
May 15, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X
Transportation Network Company 342000000X AZ Primary

Addresses

Primary practice location

1700 W Prince Rd Apt 2058
Tucson, AZ 85705-3068

Mailing address

1700 W Prince Rd Apt 2059
Tucson, AZ 85705-3068
Phone (520) 792-5501

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

NPI Registry JSON

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

{
    "created_epoch": "1684108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684108800000",
    "number": "1902597719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 W PRINCE RD APT 2059",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857053068",
            "telephone_number": "520-792-5501",
            "fax_number": "520-413-1017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 W PRINCE RD APT 2058",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857053068",
            "telephone_number": "520-792-5501",
            "fax_number": "520-413-1017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAMAD",
        "first_name": "ABDULLAH",
        "middle_name": "I",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-05-15",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "342000000X",
            "taxonomy_group": "",
            "desc": "Transportation Network Company",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; 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.