Khadem, Michael
Khadem, Michael is an sole proprietor health care provider with primary practice located at 5550 Rittiman Rd , San Antonio TX 78218-4703. He recently has only one registered license in Transportation Services / Secured Medical Transport (VAN), which is considered as his primary health care specialty. Khadem, Michael can be contacted via phone (210) 227-5466.Contact Information
Primary practice address
5550 Rittiman Rd
San Antonio TX 78218-4703
Phone: (210) 227-5466
Fax: (210) 599-1152
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Transportation Services / Secured Medical Transport (VAN) | 343800000X | 343800000X | Texas |
Profile Details
| NPI number | 1992192090 |
|---|---|
| LBN Legal business name | Khadem, Michael |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 16th, 2015 |
| Last updated | Apr 16th, 2015 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992192090 | NPPES |
| Texas | MEDICAID | 343800000X |
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