MEDICARE: BLUE AXIRO 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	:	1306795448
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BLUE AXIRO LLC

Provider Business Mailing Address
First Line	:	6655 E GRANT AVE
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93727-4174
Country	:	US
Telephone Number	:	917-780-6320
Fax Number	:

Provider Business Practice Location Address
First Line	:	6655 E GRANT AVE
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93727-4174
Country	:	US
Telephone Number	:	917-780-6320
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	NO GIVEN NAME SOURABH
Credential	:
Telephone Number	:	917-780-6320

Provider Enumeration Date	:	01/22/2026
Last Update Date	:	01/22/2026

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Directions to “BLUE AXIRO LLC ” Practice Location

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