Provider Demographics
NPI:1629884788
Name:DYMED SUPPLIERS LLC
Entity type:Organization
Organization Name:DYMED SUPPLIERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:AAMIR
Authorized Official - Middle Name:
Authorized Official - Last Name:KHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-747-3463
Mailing Address - Street 1:3300 S TAMARAC DR APT E109
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80231-4313
Mailing Address - Country:US
Mailing Address - Phone:720-476-2396
Mailing Address - Fax:
Practice Address - Street 1:3300 S TAMARAC DR APT E109
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80231-4313
Practice Address - Country:US
Practice Address - Phone:720-476-2396
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-04
Last Update Date:2024-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies