Healthcare Provider Details

I. General information

NPI: 1750290771
Provider Name (Legal Business Name): BRAINWAVE MEDICAL EQUIPMENT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/04/2026
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8401 MAYLAND DR # 5990
RICHMOND VA
23294-4648
US

IV. Provider business mailing address

8401 MAYLAND DR # 5990
RICHMOND VA
23294-4648
US

V. Phone/Fax

Practice location:
  • Phone: 512-200-2557
  • Fax:
Mailing address:
  • Phone:
  • 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: SHEIKH KAMRAN
Title or Position: OWNER
Credential:
Phone: 512-200-2557