Provider Demographics
NPI:1326572975
Name:AASH MEDICAL TRANSPORTATION LLC
Entity Type:Organization
Organization Name:AASH MEDICAL TRANSPORTATION LLC
Other - Org Name:AASH MEDICAL TRANSPORTATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TARIQ
Authorized Official - Middle Name:M
Authorized Official - Last Name:ABDULQADIR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-735-8413
Mailing Address - Street 1:3830 N MULBERRY DR APT 4201
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64116-1889
Mailing Address - Country:US
Mailing Address - Phone:612-735-8413
Mailing Address - Fax:816-491-8434
Practice Address - Street 1:3830 N MULBERRY DR APT 4201
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64116-1889
Practice Address - Country:US
Practice Address - Phone:612-735-8413
Practice Address - Fax:816-491-8434
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-19
Last Update Date:2017-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOLC001423528343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)