Provider Demographics
NPI:1841509288
Name:AAA MEDICAL TRASPORTATION
Entity type:Organization
Organization Name:AAA MEDICAL TRASPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ABDELRAOUF
Authorized Official - Middle Name:M
Authorized Official - Last Name:MUSTAFA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-377-2303
Mailing Address - Street 1:PO BOX 401450
Mailing Address - Street 2:
Mailing Address - City:REDFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48240-9450
Mailing Address - Country:US
Mailing Address - Phone:313-377-2303
Mailing Address - Fax:313-730-0660
Practice Address - Street 1:355 CHERRY VALLEY DR
Practice Address - Street 2:Q14
Practice Address - City:INKSTER
Practice Address - State:MI
Practice Address - Zip Code:48141-1494
Practice Address - Country:US
Practice Address - Phone:313-377-2303
Practice Address - Fax:313-730-0330
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-04
Last Update Date:2010-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI3438343800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)