Provider Demographics
NPI:1982380457
Name:POPAL, SAJJAD
Entity Type:Individual
Prefix:
First Name:SAJJAD
Middle Name:
Last Name:POPAL
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 1:110 RAILROAD AVE STE E
Mailing Address - Street 2:
Mailing Address - City:SUISUN CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94585-1791
Mailing Address - Country:US
Mailing Address - Phone:707-208-7275
Mailing Address - Fax:
Practice Address - Street 1:110 RAILROAD AVE STE E
Practice Address - Street 2:
Practice Address - City:SUISUN CITY
Practice Address - State:CA
Practice Address - Zip Code:94585-1791
Practice Address - Country:US
Practice Address - Phone:707-208-7275
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-27
Last Update Date:2023-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA342000000X, 343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No342000000XTransportation ServicesTransportation Network Company