Provider Demographics
NPI:1376037002
Name:TRANS VOYAGE TAXI
Entity Type:Organization
Organization Name:TRANS VOYAGE TAXI
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE MANAGER OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMED
Authorized Official - Middle Name:
Authorized Official - Last Name:GAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-335-7707
Mailing Address - Street 1:1450 S HAVANA ST STE 712
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80012-4034
Mailing Address - Country:US
Mailing Address - Phone:303-353-4482
Mailing Address - Fax:
Practice Address - Street 1:1450 S HAVANA ST STE 712
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80012-4034
Practice Address - Country:US
Practice Address - Phone:303-353-4482
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-16
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO55921344600000X, 347E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi
No347E00000XTransportation ServicesTransportation Broker