Provider Demographics
NPI:1639365570
Name:GURUNANAK INVESTMENT LLC
Entity Type:Organization
Organization Name:GURUNANAK INVESTMENT LLC
Other - Org Name:KD MEDICAL TRANSPORTATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KAMAL
Authorized Official - Middle Name:S
Authorized Official - Last Name:DHAMI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:209-324-8507
Mailing Address - Street 1:1986 BRIDGET MARIE DR
Mailing Address - Street 2:
Mailing Address - City:MODESTO
Mailing Address - State:CA
Mailing Address - Zip Code:95351-4540
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1986 BRIDGET MARIE DR
Practice Address - Street 2:
Practice Address - City:MODESTO
Practice Address - State:CA
Practice Address - Zip Code:95351-4540
Practice Address - Country:US
Practice Address - Phone:209-324-8507
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-24
Last Update Date:2007-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA200534410098343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)