Provider Demographics
NPI:1548074552
Name:IBAD, SYED
Entity type:Individual
Prefix:
First Name:SYED
Middle Name:
Last Name:IBAD
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:PROMPT
Other - Middle Name:TRANSIT
Other - Last Name:LLC
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:60 WOODLAKE BLVD
Mailing Address - Street 2:
Mailing Address - City:KENNER
Mailing Address - State:LA
Mailing Address - Zip Code:70065-1054
Mailing Address - Country:US
Mailing Address - Phone:504-338-0219
Mailing Address - Fax:
Practice Address - Street 1:60 WOODLAKE BLVD
Practice Address - Street 2:
Practice Address - City:KENNER
Practice Address - State:LA
Practice Address - Zip Code:70065-1054
Practice Address - Country:US
Practice Address - Phone:504-338-0219
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-03
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA7811461342000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes342000000XTransportation ServicesTransportation Network Company