Healthcare Provider Details

I. General information

NPI: 1689547416
Provider Name (Legal Business Name): OAK SUPPLIES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2025
Last Update Date: 12/03/2025
Certification Date: 12/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3640 PARK 42 DR
SHARONVILLE OH
45241-2072
US

IV. Provider business mailing address

3640 PARK 42 DR
SHARONVILLE OH
45241-2072
US

V. Phone/Fax

Practice location:
  • Phone: 313-784-6093
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: NAZIM UDDIN MOHAMMED
Title or Position: MANAGER
Credential:
Phone: 313-784-6093