| NPI | 1093647281 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOGESH NAIDU POLAVARAM SREENIVASULU Owner 307-622-9550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2026-06-01 |
| Last Update Date | 2026-06-02 |