Provider Demographics
NPI:1710356530
Name:RAUF, ABDUR
Entity Type:Individual
Prefix:MR
First Name:ABDUR
Middle Name:
Last Name:RAUF
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 1:537 MANHATTAN WAY
Mailing Address - Street 2:
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92881-0984
Mailing Address - Country:US
Mailing Address - Phone:951-452-4455
Mailing Address - Fax:951-268-9145
Practice Address - Street 1:537 MANHATTAN WAY
Practice Address - Street 2:
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92881-0984
Practice Address - Country:US
Practice Address - Phone:951-452-4455
Practice Address - Fax:951-268-9145
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-22
Last Update Date:2015-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)