Provider Demographics
NPI:1811596448
Name:MM&Q TRANSPORTATION INC.
Entity Type:Organization
Organization Name:MM&Q TRANSPORTATION INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MOHAMED
Authorized Official - Middle Name:
Authorized Official - Last Name:DEYAB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-298-9113
Mailing Address - Street 1:6109 BELRUN CT
Mailing Address - Street 2:
Mailing Address - City:NORTH CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23234-3403
Mailing Address - Country:US
Mailing Address - Phone:804-298-9113
Mailing Address - Fax:
Practice Address - Street 1:6109 BELRUN CT
Practice Address - Street 2:
Practice Address - City:NORTH CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23234-3403
Practice Address - Country:US
Practice Address - Phone:804-298-9113
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-24
Last Update Date:2020-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1110Medicaid