Healthcare Provider Details

I. General information

NPI: 1427914274
Provider Name (Legal Business Name): PERVEEN MEDICAL SUPPLY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/24/2025
Last Update Date: 01/06/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

39 MONTCLAIR AVE
AIRMONT NY
10952-4127
US

IV. Provider business mailing address

39 MONTCLAIR AVE
AIRMONT NY
10952-4127
US

V. Phone/Fax

Practice location:
  • Phone: 713-776-6551
  • Fax: 713-776-6562
Mailing address:
  • Phone: 713-776-6551
  • Fax: 713-776-6562

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: PERVEEN IQBAL
Title or Position: CEO
Credential:
Phone: 713-776-6551