Most Relevant Information
Provider Data
| NPI Number: | 1003591629 |
| Provider Name: | ABDIRAHIM MOHAMED |
| Entity Type: | Individual |
| Taxonomy Code: | 343900000X |
| Specialty: | Non-emergency Medical Transport (VAN) |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/20/2023 |
| Last Updated: | 06/20/2023 |
Provider Practice Location
1713 N 31ST PL APT 4
PHOENIX
AZ
850083752
Practice Location Phone/Fax
| Phone: | 4803402967 |
| Fax: |
Provider Mailing Location
1713 N 31ST PL APT 4
PHOENIX
AZ
850083752
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |