| NPI | 1336068667 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KOUSHIK REDDY KOLANU Dme 346-771-1189 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2026-07-11 |
| Last Update Date | 2026-07-11 |