Healthcare Provider Details

I. General information

NPI: 1407765183
Provider Name (Legal Business Name): EASYWAY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/07/2026
Last Update Date: 09/07/2026
Certification Date: 09/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 ASYLUM AVE APT 517
HARTFORD CT
06105-3804
US

IV. Provider business mailing address

600 ASYLUM AVE APT 926
HARTFORD CT
06105-3828
US

V. Phone/Fax

Practice location:
  • Phone: 302-465-4544
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateNULL

VIII. Authorized Official

Name: HEMANTH KUPPURI
Title or Position: OWNER
Credential:
Phone: 302-465-4544