Provider Demographics
NPI:1922849819
Name:AL TEKREETI, AHMED
Entity type:Individual
Prefix:
First Name:AHMED
Middle Name:
Last Name:AL TEKREETI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1384 ENCHANTE WAY
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92056-5672
Mailing Address - Country:US
Mailing Address - Phone:619-244-8813
Mailing Address - Fax:
Practice Address - Street 1:1384 ENCHANTE WAY
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92056-5672
Practice Address - Country:US
Practice Address - Phone:619-244-8813
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-04
Last Update Date:2024-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)