Healthcare Provider Details

I. General information

NPI: 1861702185
Provider Name (Legal Business Name): AAA MEDICAL SUPPLIES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/20/2010
Last Update Date: 10/20/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7700 LITTLE RIVER TURN PK #204
ANNANDALE VA
22003
US

IV. Provider business mailing address

7700 LITTLE RIVER TURN PK #204
ANNANDALE VA
22003
US

V. Phone/Fax

Practice location:
  • Phone: 703-772-0584
  • Fax: 703-256-7310
Mailing address:
  • Phone: 703-772-0584
  • Fax: 703-256-7310

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332000000X
TaxonomyMilitary/U.S. Coast Guard Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BD1200X
TaxonomyDialysis Equipment & Supplies (DME)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: MR. ALI ASGHAR AALAI
Title or Position: VICE-PRESIDENT
Credential:
Phone: 703-722-0584