Ahmed Dherar Jassim
Non-emergency Medical Transport (VAN) in Lexington, KY. Individual provider (NPI-1).
NPI number1942016209
StatusActive
Last updated in NPPESDec 10, 2024
Details
- NPI
- 1942016209
- Entity type
- Individual (NPI-1)
- Name
- Ahmed Dherar Jassim
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 10, 2024
- Certification date
- Dec 6, 2024
- Last updated
- Dec 10, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 343900000X | Non-emergency Medical Transport (VAN) | – | – | Yes |
Practice location
3753 Mossbriage WayLexington, KY 40514
Phone 859-312-9207
Mailing address
3753 Mossbriage WayLexington, KY 40514
Phone 859-312-9207
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