Provider Demographics
NPI:1558592253
Name:AZ MED TRANSPORTATION
Entity Type:Organization
Organization Name:AZ MED TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DR.
Authorized Official - Prefix:
Authorized Official - First Name:AMEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:ELGASH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-473-9397
Mailing Address - Street 1:21947 N 78TH ST
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85255-4013
Mailing Address - Country:US
Mailing Address - Phone:480-479-3997
Mailing Address - Fax:
Practice Address - Street 1:21947 N 78TH ST
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85255-4013
Practice Address - Country:US
Practice Address - Phone:480-479-3997
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-30
Last Update Date:2009-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZNA343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)