Provider Demographics
NPI:1851016463
Name:ABUBEKER, AZIZ BEYAN
Entity Type:Individual
Prefix:
First Name:AZIZ
Middle Name:BEYAN
Last Name:ABUBEKER
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 1:58 OXFORD AVE
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14209-1406
Mailing Address - Country:US
Mailing Address - Phone:716-579-5036
Mailing Address - Fax:
Practice Address - Street 1:58 OXFORD AVE
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14209-1406
Practice Address - Country:US
Practice Address - Phone:716-579-5036
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-05
Last Update Date:2022-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)