| NPI | 1730585654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAZIA MERAJ SIDDIQUI Owner / Md 765-714-4344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2014-11-05 |
| Last Update Date | 2018-07-11 |