Provider Demographics
NPI:1093496697
Name:BAHE, RATASHIA CHERYL
Entity Type:Individual
Prefix:
First Name:RATASHIA
Middle Name:CHERYL
Last Name:BAHE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 441
Mailing Address - Street 2:
Mailing Address - City:KYKOTSMOVI
Mailing Address - State:AZ
Mailing Address - Zip Code:86039-0441
Mailing Address - Country:US
Mailing Address - Phone:480-329-8618
Mailing Address - Fax:
Practice Address - Street 1:3015 N HAYDEN RD APT 2113
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85251-6665
Practice Address - Country:US
Practice Address - Phone:480-329-8618
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-26
Last Update Date:2023-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)