Provider Demographics
NPI:1730215948
Name:NILE EXPRESS,INC.
Entity type:Organization
Organization Name:NILE EXPRESS,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RIFAAT
Authorized Official - Middle Name:MOHAMMED
Authorized Official - Last Name:BEDAWI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-360-6317
Mailing Address - Street 1:3304 ANDERSON RD
Mailing Address - Street 2:
Mailing Address - City:ANTIOCH
Mailing Address - State:TN
Mailing Address - Zip Code:37013-1082
Mailing Address - Country:US
Mailing Address - Phone:615-360-6317
Mailing Address - Fax:615-360-7463
Practice Address - Street 1:3304 ANDERSON RD
Practice Address - Street 2:
Practice Address - City:ANTIOCH
Practice Address - State:TN
Practice Address - Zip Code:37013-1082
Practice Address - Country:US
Practice Address - Phone:615-360-6317
Practice Address - Fax:615-360-7463
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN70861343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNT000189Medicaid
TN70861OtherLICENSE NUMBER