Provider Demographics
NPI:1851916654
Name:SPECTRAN INC.
Entity Type:Organization
Organization Name:SPECTRAN INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SUHAIR
Authorized Official - Middle Name:
Authorized Official - Last Name:WAHDAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:510-646-2551
Mailing Address - Street 1:3230 27TH AVE
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95820-4718
Mailing Address - Country:US
Mailing Address - Phone:510-646-2551
Mailing Address - Fax:
Practice Address - Street 1:3230 27TH AVE
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95820-4718
Practice Address - Country:US
Practice Address - Phone:510-646-2551
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-08
Last Update Date:2020-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)