Provider Demographics
NPI:1497452635
Name:TAHA, ALNAIR
Entity Type:Individual
Prefix:
First Name:ALNAIR
Middle Name:
Last Name:TAHA
Suffix:
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 1:4908 W LEODRA LN
Mailing Address - Street 2:
Mailing Address - City:LAVEEN
Mailing Address - State:AZ
Mailing Address - Zip Code:85339-6291
Mailing Address - Country:US
Mailing Address - Phone:480-289-0560
Mailing Address - Fax:
Practice Address - Street 1:4908 W LEODRA LN
Practice Address - Street 2:
Practice Address - City:LAVEEN
Practice Address - State:AZ
Practice Address - Zip Code:85339-6291
Practice Address - Country:US
Practice Address - Phone:602-500-8087
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-08
Last Update Date:2023-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)