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NPI Code Detail

MEDICARE: ARIZONA MEDICAL EQUIPMENT & SUPPLY LLC

MEDICARE: ARIZONA MEDICAL EQUIPMENT & SUPPLY LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332B00000XDurable Medical Equipment & Medical SuppliesAZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11649284498OTHERAZNPI

General Provider Information

NPI Number : 1013241314
Entity Type Code : Organization
Provider Name (Legal Business Name) : ARIZONA MEDICAL EQUIPMENT & SUPPLY LLC
Provider Business Mailing Address
First Line : PO BOX 305
Second Line :
City : GLENDALE
State : AZ
Zip : 85311-0305
Country : US
Telephone Number : 623-266-7255
Fax Number : 623-266-7254
Provider Business Practice Location Address
First Line : 4225 W GLENDALE AVE
Second Line : C106
City : PHOENIX
State : AZ
Zip : 85051-8194
Country : US
Telephone Number : 623-266-7255
Fax Number : 623-266-7254
Authorized Official
Title or Position : OWNER
Name : MR. VIVEK KHANNA
Credential :
Telephone Number : 623-266-7255
Provider Enumeration Date : 09/21/2009
Last Update Date : 07/21/2022

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Directions to “ARIZONA MEDICAL EQUIPMENT & SUPPLY LLC ” Practice Location

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