Provider Demographics
NPI:1023814860
Name:EGE TRANSPORTATION LLC
Entity type:Organization
Organization Name:EGE TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AYAN
Authorized Official - Middle Name:MOHAMED
Authorized Official - Last Name:AHMED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-707-1759
Mailing Address - Street 1:11015 BREN RD E UNIT A108
Mailing Address - Street 2:
Mailing Address - City:MINNETONKA
Mailing Address - State:MN
Mailing Address - Zip Code:55343-2025
Mailing Address - Country:US
Mailing Address - Phone:612-707-1759
Mailing Address - Fax:
Practice Address - Street 1:11015 BREN RD E UNIT A108
Practice Address - Street 2:
Practice Address - City:MINNETONKA
Practice Address - State:MN
Practice Address - Zip Code:55343-2025
Practice Address - Country:US
Practice Address - Phone:612-707-1759
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-21
Last Update Date:2025-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)