| NPI | 1346670148 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAVIKANTH REDDY KOMMIDI Owner 256-686-3203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: AL 85252) |
| Enumeration Date | 2013-11-15 |
| Last Update Date | 2013-11-15 |