MEDICARE: MIGHTY MED DIAGNOSTIC 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	:	1356134639
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MIGHTY MED DIAGNOSTIC LLC

Provider Business Mailing Address
First Line	:	2714 CYPRESS PPOINT DR STE K2
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77459
Country	:	US
Telephone Number	:	512-325-6888
Fax Number	:

Provider Business Practice Location Address
First Line	:	2714 CYPRESS PPOINT DR STE K2
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77459
Country	:	US
Telephone Number	:	512-325-6888
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	FAHEEM KHAN
Credential	:
Telephone Number	:	512-325-6888

Provider Enumeration Date	:	05/28/2025
Last Update Date	:	03/16/2026

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