Provider Demographics
NPI:1518735653
Name:KING'S MEDICAL TRANS
Entity Type:Organization
Organization Name:KING'S MEDICAL TRANS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DRIVER
Authorized Official - Prefix:
Authorized Official - First Name:SAFADEN
Authorized Official - Middle Name:
Authorized Official - Last Name:RAJA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-471-3440
Mailing Address - Street 1:1850 BENSON ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19152-2318
Mailing Address - Country:US
Mailing Address - Phone:267-471-3440
Mailing Address - Fax:
Practice Address - Street 1:1850 BENSON ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19152-2318
Practice Address - Country:US
Practice Address - Phone:267-471-3440
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-18
Last Update Date:2023-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172A00000XOther Service ProvidersDriverGroup - Single Specialty