Provider Demographics
NPI:1780859066
Name:KALMED LLC
Entity Type:Organization
Organization Name:KALMED LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:KHALID
Authorized Official - Middle Name:A
Authorized Official - Last Name:ABDUL GADIR
Authorized Official - Suffix:
Authorized Official - Credentials:NONE
Authorized Official - Phone:602-697-2068
Mailing Address - Street 1:12501 W. SUNNYSIDE DR.
Mailing Address - Street 2:SAME AS ABOVE
Mailing Address - City:EL MIRAGE
Mailing Address - State:AZ
Mailing Address - Zip Code:85335
Mailing Address - Country:US
Mailing Address - Phone:602-697-2068
Mailing Address - Fax:
Practice Address - Street 1:12501 W. SUNNYSIDE DR.
Practice Address - Street 2:SAME AS ABOVE
Practice Address - City:EL MIRAGE
Practice Address - State:AZ
Practice Address - Zip Code:85335
Practice Address - Country:US
Practice Address - Phone:602-697-2068
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-28
Last Update Date:2008-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZL14327712343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)