Provider Demographics
NPI:1548587215
Name:PARA-MED MEDICAL TRANSPORTATION INC
Entity Type:Organization
Organization Name:PARA-MED MEDICAL TRANSPORTATION INC
Other - Org Name:PARA-MED
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT OF OPERATIONS
Authorized Official - Prefix:MR
Authorized Official - First Name:TEJAV
Authorized Official - Middle Name:
Authorized Official - Last Name:SAFAI
Authorized Official - Suffix:
Authorized Official - Credentials:OA, ME, CHA
Authorized Official - Phone:301-838-8700
Mailing Address - Street 1:14803 SOUTHLAWN LN
Mailing Address - Street 2:UNIT C
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-1393
Mailing Address - Country:US
Mailing Address - Phone:301-838-8700
Mailing Address - Fax:301-838-8704
Practice Address - Street 1:14803 SOUTHLAWN LN
Practice Address - Street 2:UNIT C
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-1393
Practice Address - Country:US
Practice Address - Phone:301-838-8700
Practice Address - Fax:301-838-8704
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-21
Last Update Date:2012-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDPSC 2345341600000X, 3416L0300X, 343800000X, 343900000X
DCWMATC 206343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
No3416L0300XTransportation ServicesAmbulanceLand Transport
No343800000XTransportation ServicesSecured Medical Transport (VAN)
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD350600200Medicaid