MEDICARE: DOOSAM INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	332B00000X	Durable Medical Equipment & Medical Supplies
2	261Q00000X	Clinic/Center
3	291U00000X	Clinical Medical Laboratory

General Provider Information

NPI Number	:	1124993514
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DOOSAM INC

Provider Business Mailing Address
First Line	:	6426 N WESTERN AVE APT 2
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60645-5197
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6426 N WESTERN AVE APT 2
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60645-5197
Country	:	US
Telephone Number	:	551-344-7630
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	FNU MOHAMMED MASOOD
Credential	:
Telephone Number	:	551-344-7630

Provider Enumeration Date	:	10/07/2025
Last Update Date	:	04/09/2026

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Directions to “DOOSAM INC ” Practice Location

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