Provider Demographics
NPI:1093582041
Name:DARYALETRANSPORTATIONLLC
Entity Type:Organization
Organization Name:DARYALETRANSPORTATIONLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMED
Authorized Official - Middle Name:Y
Authorized Official - Last Name:ALI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:608-207-2584
Mailing Address - Street 1:22 COYNE CT APT 204
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53715-2628
Mailing Address - Country:US
Mailing Address - Phone:608-207-2584
Mailing Address - Fax:
Practice Address - Street 1:22 COYNE CT APT 204
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53715-2628
Practice Address - Country:US
Practice Address - Phone:608-207-2584
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-11
Last Update Date:2023-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172A00000XOther Service ProvidersDriverGroup - Multi-Specialty