Healthcare Provider Details

I. General information

NPI: 1205759925
Provider Name (Legal Business Name): FIVE STAR DME AND BILLING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2026
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

58369 240TH ST
MANKATO MN
56001-5593
US

IV. Provider business mailing address

58369 240TH ST
MANKATO MN
56001-5593
US

V. Phone/Fax

Practice location:
  • Phone: 713-498-5462
  • Fax:
Mailing address:
  • Phone: 713-498-5462
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MARZOOQ LAKHANI
Title or Position: CEO
Credential:
Phone: 713-498-5462