Provider Demographics
NPI:1700467347
Name:ADIL TAHA DBA HANNIBAL TRANSPORTATION
Entity Type:Organization
Organization Name:ADIL TAHA DBA HANNIBAL TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:MOHAMMED
Authorized Official - Middle Name:
Authorized Official - Last Name:EL-BASHIR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-516-7803
Mailing Address - Street 1:1520 46TH ST NW
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55901-8285
Mailing Address - Country:US
Mailing Address - Phone:612-516-7803
Mailing Address - Fax:218-216-8848
Practice Address - Street 1:1500 1ST AVE NE STE 109
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55906-4170
Practice Address - Country:US
Practice Address - Phone:507-202-4043
Practice Address - Fax:218-216-8848
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-15
Last Update Date:2022-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)