Provider Demographics
NPI:1750192969
Name:RPAV MANAGEMENT DME INC
Entity type:Organization
Organization Name:RPAV MANAGEMENT DME INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MANISH
Authorized Official - Middle Name:
Authorized Official - Last Name:PANDYA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:773-317-4888
Mailing Address - Street 1:PO BOX 593
Mailing Address - Street 2:
Mailing Address - City:WAUCONDA
Mailing Address - State:IL
Mailing Address - Zip Code:60084-0593
Mailing Address - Country:US
Mailing Address - Phone:773-317-4888
Mailing Address - Fax:
Practice Address - Street 1:4149 W 26TH ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60623-4314
Practice Address - Country:US
Practice Address - Phone:773-317-4888
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-16
Last Update Date:2025-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies