Provider Demographics
NPI:1194487405
Name:MUNA NASIR SUFI
Entity Type:Organization
Organization Name:MUNA NASIR SUFI
Other - Org Name:ADULT TRANSPORTATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MUNA
Authorized Official - Middle Name:
Authorized Official - Last Name:NASIR SUFI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-396-3709
Mailing Address - Street 1:411 QUICK SILVER DR
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27127-8004
Mailing Address - Country:US
Mailing Address - Phone:919-396-3709
Mailing Address - Fax:
Practice Address - Street 1:411 QUICK SILVER DR
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27127-8004
Practice Address - Country:US
Practice Address - Phone:919-396-3709
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-13
Last Update Date:2021-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)