Healthcare Provider Details

I. General information

NPI: 1235064452
Provider Name (Legal Business Name): RAIROH DISTRIBUTION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 MELVIN AVE
GRASONVILLE MD
21638-1241
US

IV. Provider business mailing address

401 MELVIN AVE
GRASONVILLE MD
21638-1241
US

V. Phone/Fax

Practice location:
  • Phone: 571-429-2288
  • Fax:
Mailing address:
  • Phone: 571-429-2288
  • Fax:

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: MR. TANVEER MALIK
Title or Position: OWNER
Credential:
Phone: 571-429-2288