Provider Demographics
NPI:1275033607
Name:PHILAJO GLOBAL LLC
Entity Type:Organization
Organization Name:PHILAJO GLOBAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:MR
Authorized Official - First Name:ABAKASANGA
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:INAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-779-8231
Mailing Address - Street 1:4521 BILLINGHAM STREET
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22030
Mailing Address - Country:US
Mailing Address - Phone:571-454-2551
Mailing Address - Fax:
Practice Address - Street 1:4521 BILLINGHAM STREET
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22030
Practice Address - Country:US
Practice Address - Phone:571-454-2551
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-12
Last Update Date:2018-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)