Provider Demographics
NPI:1881472462
Name:ABRAR, HAYATU ZEINU
Entity type:Individual
Prefix:
First Name:HAYATU
Middle Name:ZEINU
Last Name:ABRAR
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 EXECUTIVE PARK DR NE
Mailing Address - Street 2:135
Mailing Address - City:BROOKHAVEN
Mailing Address - State:GA
Mailing Address - Zip Code:30329
Mailing Address - Country:US
Mailing Address - Phone:678-499-5431
Mailing Address - Fax:
Practice Address - Street 1:10 EXECUTIVE PARK DR NE
Practice Address - Street 2:135
Practice Address - City:BROOKHAVEN
Practice Address - State:GA
Practice Address - Zip Code:30329
Practice Address - Country:US
Practice Address - Phone:678-499-5431
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-15
Last Update Date:2023-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA23192215343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)