Provider Demographics
NPI:1205529443
Name:SUNCITY MEDICAL TRANSPORT
Entity type:Organization
Organization Name:SUNCITY MEDICAL TRANSPORT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SHUAIB
Authorized Official - Middle Name:ABDI
Authorized Official - Last Name:IGAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-364-6089
Mailing Address - Street 1:6565 E THOMAS RD UNIT 1038
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85251-6172
Mailing Address - Country:US
Mailing Address - Phone:602-245-6371
Mailing Address - Fax:
Practice Address - Street 1:6565 E THOMAS RD UNIT 1038
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85251-6172
Practice Address - Country:US
Practice Address - Phone:602-245-6371
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-02
Last Update Date:2023-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)