Healthcare Provider Details
I. General information
NPI: 1053230268
Provider Name (Legal Business Name): PRO MED SOLUTION INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/13/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
30 N GOULD ST
SHERIDAN WY
82801-6317
US
IV. Provider business mailing address
1021 E LINCOLNWAY UNIT 1839
CHEYENNE WY
82001-4851
US
V. Phone/Fax
- Phone: 312-684-6797
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SYED SHAYAN KHURRAM
BURNEY
Title or Position: OWNER
Credential:
Phone: 312-684-6797