Healthcare Provider Details

I. General information

NPI: 1417277138
Provider Name (Legal Business Name): HI-TECH PROSTHETICS & ORTHOTICS,INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2010
Last Update Date: 03/21/2023
Certification Date: 03/21/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1027 MINERAL WELLS AVE SUITE 2B
PARIS TN
38242
US

IV. Provider business mailing address

266 S CLEVELAND ST STE 102
MEMPHIS TN
38104-3520
US

V. Phone/Fax

Practice location:
  • Phone: 731-642-9984
  • Fax: 731-642-9986
Mailing address:
  • Phone: 901-590-0354
  • Fax: 901-590-4319

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License NumberORTHOTIST -129
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License NumberPROSTHETIST - 99
License Number StateTN

VIII. Authorized Official

Name: MR. RAMESH DUBEY
Title or Position: PRESIDENT
Credential: CPO
Phone: 731-642-9984