Provider Demographics
NPI:1477330645
Name:AI MEDICAL TRANSPORTATION
Entity Type:Organization
Organization Name:AI MEDICAL TRANSPORTATION
Other - Org Name:AI MEDICAL TRANSPORTATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EZANA
Authorized Official - Middle Name:
Authorized Official - Last Name:KIDANAE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-671-8942
Mailing Address - Street 1:5400 PRESTON OAKS RD APT 2082
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75254-8446
Mailing Address - Country:US
Mailing Address - Phone:720-671-8942
Mailing Address - Fax:
Practice Address - Street 1:5400 PRESTON OAKS RD APT 2082
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75254-8446
Practice Address - Country:US
Practice Address - Phone:720-671-8942
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-12
Last Update Date:2023-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)