Healthcare Provider Details

I. General information

NPI: 1467288795
Provider Name (Legal Business Name): MEMPHIS DME SUPPLY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/12/2024
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5118 PARK AVE STE 323
MEMPHIS TN
38117-5711
US

IV. Provider business mailing address

5118 PARK AVE STE 323
MEMPHIS TN
38117-5711
US

V. Phone/Fax

Practice location:
  • Phone: 800-695-5474
  • Fax: 901-443-1196
Mailing address:
  • Phone: 800-695-5474
  • Fax: 901-443-1196

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: HUMAIR PIRWANI
Title or Position: OWNER
Credential:
Phone: 800-695-5474