Provider Demographics
NPI:1801335955
Name:ABRAR TRANS LLC
Entity type:Organization
Organization Name:ABRAR TRANS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MANAL
Authorized Official - Middle Name:E
Authorized Official - Last Name:MOHAMED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-255-6578
Mailing Address - Street 1:700 N CORONADO ST APT 2138
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85224-7302
Mailing Address - Country:US
Mailing Address - Phone:336-255-6578
Mailing Address - Fax:602-437-0171
Practice Address - Street 1:3220 S FAIR LN STE 19A
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85282-3111
Practice Address - Country:US
Practice Address - Phone:336-255-6578
Practice Address - Fax:602-437-0171
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-21
Last Update Date:2017-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZL21625517343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)