Provider Demographics
NPI:1417678061
Name:MAXIMOUS, ADEL EID SR
Entity Type:Individual
Prefix:MR
First Name:ADEL
Middle Name:EID
Last Name:MAXIMOUS
Suffix:SR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3396 WOODLAND STAR WAY
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37207-3381
Mailing Address - Country:US
Mailing Address - Phone:615-335-3650
Mailing Address - Fax:
Practice Address - Street 1:3396 WOODLAND STAR WAY
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37207-3381
Practice Address - Country:US
Practice Address - Phone:615-335-3650
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-12
Last Update Date:2022-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)