Provider Demographics
NPI:1598136103
Name:KARA, ALI
Entity Type:Individual
Prefix:
First Name:ALI
Middle Name:
Last Name:KARA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8105 BANBERRY RD
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32514-6802
Mailing Address - Country:US
Mailing Address - Phone:580-375-8123
Mailing Address - Fax:
Practice Address - Street 1:8105 BANBERRY RD
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32514-6802
Practice Address - Country:US
Practice Address - Phone:580-375-8123
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-08
Last Update Date:2015-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)