Provider Demographics
NPI:1174276588
Name:AZIZA MEDICAL TRANSPORTATION LLC
Entity Type:Organization
Organization Name:AZIZA MEDICAL TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HOSSAM
Authorized Official - Middle Name:
Authorized Official - Last Name:ELGWILI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:434-439-8378
Mailing Address - Street 1:17 N FRANKLIN ST STE H
Mailing Address - Street 2:
Mailing Address - City:CHRISTIANSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24073-2956
Mailing Address - Country:US
Mailing Address - Phone:434-439-8378
Mailing Address - Fax:434-219-0225
Practice Address - Street 1:17 N FRANKLIN ST STE H
Practice Address - Street 2:
Practice Address - City:CHRISTIANSBURG
Practice Address - State:VA
Practice Address - Zip Code:24073-2956
Practice Address - Country:US
Practice Address - Phone:434-439-8378
Practice Address - Fax:434-219-0225
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-27
Last Update Date:2022-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)