Provider Demographics
NPI:1609019553
Name:PARA MED MEDICAL TRANSPORTATION, INC.
Entity Type:Organization
Organization Name:PARA MED MEDICAL TRANSPORTATION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JAFAR
Authorized Official - Middle Name:
Authorized Official - Last Name:OMIDVAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-253-0030
Mailing Address - Street 1:10017 LOCUST DR
Mailing Address - Street 2:
Mailing Address - City:DAMASCUS
Mailing Address - State:MD
Mailing Address - Zip Code:20872-1717
Mailing Address - Country:US
Mailing Address - Phone:301-253-0030
Mailing Address - Fax:301-253-5806
Practice Address - Street 1:10017 LOCUST DR
Practice Address - Street 2:
Practice Address - City:DAMASCUS
Practice Address - State:MD
Practice Address - Zip Code:20872-1717
Practice Address - Country:US
Practice Address - Phone:301-253-0030
Practice Address - Fax:301-253-5806
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-08
Last Update Date:2009-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDPSC-2345343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD754208900Medicaid