Provider Demographics
NPI:1487192662
Name:HEALTHCARE DURABLE MEDICAL EQUIPMENT LLC
Entity type:Organization
Organization Name:HEALTHCARE DURABLE MEDICAL EQUIPMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ASHFAQ
Authorized Official - Middle Name:A
Authorized Official - Last Name:KADWANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-961-2665
Mailing Address - Street 1:13530 MICHIGAN AVE
Mailing Address - Street 2:SUITE L2
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48126-3574
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:13530 MICHIGAN AVE
Practice Address - Street 2:SUITE L2
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48126-3574
Practice Address - Country:US
Practice Address - Phone:734-961-2665
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-07
Last Update Date:2017-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies