| NPI | 1790661585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANIKANTA CHANDRAGIRI C.E.O 763-203-8794 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2025-08-15 |
| Last Update Date | 2025-08-15 |