Provider Demographics
NPI:1376010587
Name:JH MED TRANSPORTATION
Entity Type:Organization
Organization Name:JH MED TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:ISROILKHUJAEV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-971-2021
Mailing Address - Street 1:2707 KIRKWOOD PL APT 102
Mailing Address - Street 2:
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20782-2636
Mailing Address - Country:US
Mailing Address - Phone:202-971-2021
Mailing Address - Fax:
Practice Address - Street 1:2707 KIRKWOOD PL APT 102
Practice Address - Street 2:
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20782-2636
Practice Address - Country:US
Practice Address - Phone:202-971-2021
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-25
Last Update Date:2018-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)