MEDICARE: MGRM TECHNOLOGIES INC.

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	:	1053485680
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MGRM TECHNOLOGIES INC.

Provider Business Mailing Address
First Line	:	6110 5TH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11220-4610
Country	:	US
Telephone Number	:	718-439-0634
Fax Number	:

Provider Business Practice Location Address
First Line	:	6110 5TH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11220-4610
Country	:	US
Telephone Number	:	718-439-0634
Fax Number	:

Authorized Official
Title or Position	:	FOUNDER
Name	:	DR. VENKATARAMANA MURTHY KOMANDURI
Credential	:
Telephone Number	:	718-439-0634

Provider Enumeration Date	:	11/17/2006
Last Update Date	:	08/22/2020

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