Healthcare Provider Details

I. General information

NPI: 1073432423
Provider Name (Legal Business Name): CRENEST LINK SOLUTION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2026
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12308 CYPRESS SPRING RD
CLARKSBURG MD
20871-4413
US

IV. Provider business mailing address

12308 CYPRESS SPRING RD
CLARKSBURG MD
20871-4413
US

V. Phone/Fax

Practice location:
  • Phone: 904-579-0477
  • Fax: 229-592-4695
Mailing address:
  • Phone: 904-579-0477
  • Fax: 229-592-4695

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MUHAMMAD H KHAN
Title or Position: CEO
Credential:
Phone: 904-579-0477