Healthcare Provider Details

I. General information

NPI: 1598601528
Provider Name (Legal Business Name): PERISHAY MDL SOLUTION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2026
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

107 W 2ND ST
PROSPER TX
75078-2746
US

IV. Provider business mailing address

107 W 2ND ST
PROSPER TX
75078-2746
US

V. Phone/Fax

Practice location:
  • Phone: 608-581-5711
  • Fax: 608-581-5711
Mailing address:
  • Phone: 608-581-5711
  • Fax: 608-581-5711

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: MS. NOORRULAIN MOIN
Title or Position: ONWER
Credential:
Phone: 608-581-5711