Provider Demographics
NPI:1801452461
Name:KHALID TRANSPORTATION COMPANY (ATC)
Entity type:Organization
Organization Name:KHALID TRANSPORTATION COMPANY (ATC)
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KHALID
Authorized Official - Middle Name:
Authorized Official - Last Name:ALMADAOJI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-789-1838
Mailing Address - Street 1:1555 N FAIRFIELD RD
Mailing Address - Street 2:
Mailing Address - City:BEAVERCREEK
Mailing Address - State:OH
Mailing Address - Zip Code:45432-2739
Mailing Address - Country:US
Mailing Address - Phone:937-789-1838
Mailing Address - Fax:
Practice Address - Street 1:1555 N FAIRFIELD RD
Practice Address - Street 2:
Practice Address - City:BEAVERCREEK
Practice Address - State:OH
Practice Address - Zip Code:45432-2739
Practice Address - Country:US
Practice Address - Phone:937-789-1838
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-19
Last Update Date:2019-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)