MEDICARE: PERVEEN MEDICAL SUPPLY 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	:	1427914274
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PERVEEN MEDICAL SUPPLY LLC

Provider Business Mailing Address
First Line	:	917 220TH ST
Second Line	:
City	:	PASADENA
State	:	MD
Zip	:	21122-1378
Country	:	US
Telephone Number	:	713-776-6551
Fax Number	:	713-776-6562

Provider Business Practice Location Address
First Line	:	917 220TH ST
Second Line	:
City	:	PASADENA
State	:	MD
Zip	:	21122-1378
Country	:	US
Telephone Number	:	713-776-6551
Fax Number	:	713-776-6562

Authorized Official
Title or Position	:	CEO
Name	:	PERVEEN IQBAL
Credential	:
Telephone Number	:	713-776-6551

Provider Enumeration Date	:	12/24/2025
Last Update Date	:	12/24/2025

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