Healthcare Provider Details

I. General information

NPI: 1033795364
Provider Name (Legal Business Name): M.P.K. MEDICAL EQUIPMENTS LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/18/2021
Last Update Date: 03/18/2021
Certification Date: 03/18/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2018 ELWOOD BLVD
SPRING ARBOR MI
49283-9682
US

IV. Provider business mailing address

2018 ELWOOD BLVD
SPRING ARBOR MI
49283-9682
US

V. Phone/Fax

Practice location:
  • Phone: 517-945-4030
  • Fax:
Mailing address:
  • Phone: 517-945-4030
  • Fax: 888-496-5550

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: DR. KARTHYAYANI KUNCHAPPA
Title or Position: PRESIDENT
Credential:
Phone: 734-306-2503