| NPI | 1467385195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIVA REDDY THOTAPALLY Owner 307-622-9550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2026-06-03 |
| Last Update Date | 2026-06-03 |