| NPI | 1144686171 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SURESH SUKHRAJ CEO/Owner 772-812-4475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2016-01-06 |
| Last Update Date | 2016-10-11 |