Provider Demographics
NPI:1861288102
Name:AI WOUND CARE LLC
Entity type:Organization
Organization Name:AI WOUND CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAH
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:201-238-8485
Mailing Address - Street 1:7830 UX BRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75063-1266
Mailing Address - Country:US
Mailing Address - Phone:201-238-8485
Mailing Address - Fax:469-492-9299
Practice Address - Street 1:7830 UX BRIDGE DR
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75063-1266
Practice Address - Country:US
Practice Address - Phone:201-238-8485
Practice Address - Fax:469-492-9299
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-15
Last Update Date:2025-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Multi-Specialty