Provider Demographics
NPI:1417603507
Name:WEKAN LLC
Entity Type:Organization
Organization Name:WEKAN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MAXAMED
Authorized Official - Middle Name:
Authorized Official - Last Name:MAXAMED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-909-9119
Mailing Address - Street 1:2966 E RANCH CT
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85296-8609
Mailing Address - Country:US
Mailing Address - Phone:512-909-9119
Mailing Address - Fax:
Practice Address - Street 1:2966 E RANCH CT
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85296-8609
Practice Address - Country:US
Practice Address - Phone:512-909-9119
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-27
Last Update Date:2022-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)