Healthcare Provider Details

I. General information

NPI: 1912869108
Provider Name (Legal Business Name): NEXUS MEDICAL SUPPLIES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/26/2025
Last Update Date: 11/26/2025
Certification Date: 11/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7300 OLD POHICK WAY
LORTON VA
22079-1561
US

IV. Provider business mailing address

7300 OLD POHICK WAY
LORTON VA
22079-1561
US

V. Phone/Fax

Practice location:
  • Phone: 432-315-4720
  • Fax:
Mailing address:
  • Phone: 432-315-4720
  • Fax:

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: SADIA KAMAL
Title or Position: CEO
Credential:
Phone: 432-315-4720