MEDICARE: SHELBY MEDICAL EQUIPMENT, 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	332BX2000X	Oxygen Equipment & Supplies (DME)	B	MI

General Provider Information

NPI Number	:	1245409333
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHELBY MEDICAL EQUIPMENT, INC.

Provider Business Mailing Address
First Line	:	48945 VAN DYKE AVE
Second Line	:	SUITE #7
City	:	SHELBY TOWNSHIP
State	:	MI
Zip	:	48317-2542
Country	:	US
Telephone Number	:	586-997-9794
Fax Number	:

Provider Business Practice Location Address
First Line	:	48945 VAN DYKE AVE
Second Line	:	SUITE #7
City	:	SHELBY TOWNSHIP
State	:	MI
Zip	:	48317-2542
Country	:	US
Telephone Number	:	586-997-9794
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	PARAMJIT KAUR
Credential	:
Telephone Number	:	586-997-9794

Provider Enumeration Date	:	02/22/2008
Last Update Date	:	07/21/2022

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