Healthcare Provider Details

I. General information

NPI: 1295664035
Provider Name (Legal Business Name): BANSOLT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

207 SUMMERS CT
STERLING VA
20164-2531
US

IV. Provider business mailing address

207 SUMMERS CT
STERLING VA
20164-2531
US

V. Phone/Fax

Practice location:
  • Phone: 571-436-1536
  • Fax:
Mailing address:
  • Phone: 571-436-1536
  • 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: MUHAMMAD KHALID RAZA
Title or Position: OWNER
Credential:
Phone: 571-436-1536