Provider Demographics
NPI:1508241613
Name:NAASTAR ENTERPRISES, LLC
Entity Type:Organization
Organization Name:NAASTAR ENTERPRISES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NASR
Authorized Official - Middle Name:
Authorized Official - Last Name:ABDUL-MUJEEB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-761-1086
Mailing Address - Street 1:20871 W. GLEN HAVEN CIRCLE
Mailing Address - Street 2:
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48167
Mailing Address - Country:US
Mailing Address - Phone:248-761-1086
Mailing Address - Fax:
Practice Address - Street 1:20871 W. GLEN HAVEN CIRCLE
Practice Address - Street 2:
Practice Address - City:NOVI
Practice Address - State:MI
Practice Address - Zip Code:48167
Practice Address - Country:US
Practice Address - Phone:248-761-1086
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-30
Last Update Date:2015-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIL10456343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)