Provider Demographics
NPI:1184910002
Name:ALKHALEEJ INTERNATIONAL LLC
Entity type:Organization
Organization Name:ALKHALEEJ INTERNATIONAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:AYOUB
Authorized Official - Middle Name:ABDALLA
Authorized Official - Last Name:MOHAMED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:507-269-7800
Mailing Address - Street 1:100 1ST AVE SW
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55902-3156
Mailing Address - Country:US
Mailing Address - Phone:507-269-7800
Mailing Address - Fax:763-529-8080
Practice Address - Street 1:100 1ST AVE SW STE 205
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55902-3159
Practice Address - Country:US
Practice Address - Phone:507-269-7800
Practice Address - Fax:763-529-8080
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-20
Last Update Date:2011-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
2355S0801X
MN343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language AssistantGroup - Multi-Specialty