Provider Demographics
NPI:1053986836
Name:ALJANDALI, KHALOUK
Entity type:Individual
Prefix:
First Name:KHALOUK
Middle Name:
Last Name:ALJANDALI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:CAL
Other - Middle Name:
Other - Last Name:ALJANDALI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:24011 NORTHSHIRE LN
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-4542
Mailing Address - Country:US
Mailing Address - Phone:832-794-0825
Mailing Address - Fax:
Practice Address - Street 1:24011 NORTHSHIRE LN
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-4542
Practice Address - Country:US
Practice Address - Phone:832-794-0825
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-24
Last Update Date:2021-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)