MEDICARE: OEMAUTOSPACE 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
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1043148703
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OEMAUTOSPACE LLC

Provider Business Mailing Address
First Line	:	6 STATE RD STE 114
Second Line	:
City	:	MECHANICSBURG
State	:	PA
Zip	:	17050-7934
Country	:	US
Telephone Number	:	929-684-6656
Fax Number	:

Provider Business Practice Location Address
First Line	:	6 STATE RD STE 114
Second Line	:
City	:	MECHANICSBURG
State	:	PA
Zip	:	17050-7934
Country	:	US
Telephone Number	:	929-684-6656
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MS. RANA SULTANA KHAN
Credential	:
Telephone Number	:	940-267-7235

Provider Enumeration Date	:	05/12/2026
Last Update Date	:	05/12/2026

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Directions to “OEMAUTOSPACE LLC ” Practice Location

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