Provider Demographics
NPI:1295864627
Name:A ELITE TRANSPORTATION
Entity Type:Organization
Organization Name:A ELITE TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SIDEIG
Authorized Official - Middle Name:
Authorized Official - Last Name:AHMED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-484-1118
Mailing Address - Street 1:3512 ROCKVILLE RD
Mailing Address - Street 2:145C
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46222-3998
Mailing Address - Country:US
Mailing Address - Phone:317-484-1118
Mailing Address - Fax:
Practice Address - Street 1:3512 ROCKVILLE RD
Practice Address - Street 2:145C
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46222-3998
Practice Address - Country:US
Practice Address - Phone:317-484-1118
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-02
Last Update Date:2008-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN1047035343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200354600Medicaid