Provider Demographics
NPI:1598290298
Name:WEGO TAXI TOURS INC
Entity Type:Organization
Organization Name:WEGO TAXI TOURS INC
Other - Org Name:WEGO TAXI TOURS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SADAT
Authorized Official - Middle Name:A
Authorized Official - Last Name:KHAN
Authorized Official - Suffix:
Authorized Official - Credentials:VP
Authorized Official - Phone:716-579-0621
Mailing Address - Street 1:2622 WALNUT AVE
Mailing Address - Street 2:
Mailing Address - City:NIAGARA FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:14301-2558
Mailing Address - Country:US
Mailing Address - Phone:716-449-0001
Mailing Address - Fax:716-371-2128
Practice Address - Street 1:2622 WALNUT AVE
Practice Address - Street 2:
Practice Address - City:NIAGARA FALLS
Practice Address - State:NY
Practice Address - Zip Code:14301-2558
Practice Address - Country:US
Practice Address - Phone:716-449-0001
Practice Address - Fax:716-371-2128
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-01
Last Update Date:2017-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY04436595343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY04436595Medicaid