Provider Demographics
NPI:1508549908
Name:GUMASHYAN, DSHKUI
Entity Type:Individual
Prefix:
First Name:DSHKUI
Middle Name:
Last Name:GUMASHYAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18107 SHERMAN WAY STE 209
Mailing Address - Street 2:
Mailing Address - City:RESEDA
Mailing Address - State:CA
Mailing Address - Zip Code:91335-4582
Mailing Address - Country:US
Mailing Address - Phone:747-344-7745
Mailing Address - Fax:
Practice Address - Street 1:18107 SHERMAN WAY STE 209
Practice Address - Street 2:
Practice Address - City:RESEDA
Practice Address - State:CA
Practice Address - Zip Code:91335-4582
Practice Address - Country:US
Practice Address - Phone:747-344-7745
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-11
Last Update Date:2023-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)