Healthcare Provider Details

I. General information

NPI: 1326527193
Provider Name (Legal Business Name): CUSHING MEDICAL EQUIPMENT AND SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2018
Last Update Date: 11/05/2021
Certification Date: 11/05/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2222 E HIGHLAND AVE STE 222
PHOENIX AZ
85016-4876
US

IV. Provider business mailing address

1511 W MYRTLE AVE
PHOENIX AZ
85021-7938
US

V. Phone/Fax

Practice location:
  • Phone: 602-603-0970
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: ABHISHIEK SHARMA
Title or Position: MEMBER
Credential: MD
Phone: 414-426-1657