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NPI Code Detail

MEDICARE: IDOC INTERNATIONAL LLC

MEDICARE: IDOC INTERNATIONAL 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 Supplies

General Provider Information

NPI Number : 1043157407
Entity Type Code : Organization
Provider Name (Legal Business Name) : IDOC INTERNATIONAL LLC
Provider Business Mailing Address
First Line : 2609 E 14TH ST # 287
Second Line :
City : BROOKLYN
State : NY
Zip : 11235-3915
Country : US
Telephone Number : 718-629-8940
Fax Number :
Provider Business Practice Location Address
First Line : 2411 E 4TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11223-5427
Country : US
Telephone Number : 718-629-8940
Fax Number :
Authorized Official
Title or Position : CEO
Name : DALER RAKHMONOV
Credential :
Telephone Number : 718-629-8940
Provider Enumeration Date : 05/02/2026
Last Update Date : 05/05/2026

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Directions to “IDOC INTERNATIONAL LLC ” Practice Location

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