Provider Demographics
NPI:1942999008
Name:GOSHIHAB HEALTHCARE TECHNOLOGY LLC
Entity Type:Organization
Organization Name:GOSHIHAB HEALTHCARE TECHNOLOGY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ELMAHI
Authorized Official - Middle Name:
Authorized Official - Last Name:ELMAHI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-860-7558
Mailing Address - Street 1:6745 E SUPERSTITION SPRINGS BLVD APT 2017
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85206-4367
Mailing Address - Country:US
Mailing Address - Phone:602-860-7558
Mailing Address - Fax:
Practice Address - Street 1:6745 E SUPERSTITION SPRINGS BLVD APT 2017
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85206-4367
Practice Address - Country:US
Practice Address - Phone:602-860-7558
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-04
Last Update Date:2023-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347E00000XTransportation ServicesTransportation Broker