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NPI Code Detail

MEDICARE: MEDSUPPLY CORPORATION, INC.

MEDICARE: MEDSUPPLY CORPORATION, INC.
Medicare Provider Information

Scope of Practice

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

# Taxonomy Code Taxonomy License Number License Number State
1332B00000XDurable Medical Equipment & Medical Supplies
2332BC3200XCustomized Equipment (DME)
3332BP3500XParenteral & Enteral Nutrition Supplies (DME)
4335E00000XProsthetic/Orthotic Supplier

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2540F317600OTHERMIBCBSM

General Provider Information

NPI Number : 1609873611
Entity Type Code : Organization
Provider Name (Legal Business Name) : MEDSUPPLY CORPORATION, INC.
Provider Business Mailing Address
First Line : 33333 DEQUINDRE RD
Second Line : SUITE A
City : TROY
State : MI
Zip : 48083-4624
Country : US
Telephone Number : 248-597-9004
Fax Number : 248-597-9012
Provider Business Practice Location Address
First Line : 33333 DEQUINDRE RD
Second Line : SUITE A
City : TROY
State : MI
Zip : 48083-4624
Country : US
Telephone Number : 248-597-9004
Fax Number : 248-597-9012
Authorized Official
Title or Position : CEO
Name : MR. MOHAMMAD ASHRAF QAZI
Credential :
Telephone Number : 248-386-0300
Provider Enumeration Date : 07/05/2005
Last Update Date : 02/02/2024

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Directions to “MEDSUPPLY CORPORATION, INC. ” Practice Location

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