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NPI Code Detail

MEDICARE: AZA SUPPLIES LLC

MEDICARE: AZA SUPPLIES 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
1332B00000XDurable Medical Equipment & Medical Supplies

General Provider Information

NPI Number : 1538096698
Entity Type Code : Organization
Provider Name (Legal Business Name) : AZA SUPPLIES LLC
Provider Business Mailing Address
First Line : 212 N 2ND ST STE 100
Second Line :
City : RICHMOND
State : KY
Zip : 40475-1408
Country : US
Telephone Number : 320-577-7824
Fax Number :
Provider Business Practice Location Address
First Line : 212 N 2ND ST STE 100
Second Line :
City : RICHMOND
State : KY
Zip : 40475-1408
Country : US
Telephone Number : 320-577-7824
Fax Number :
Authorized Official
Title or Position : CEO
Name : SAIKUMAR PULIMAMIDI
Credential : MR
Telephone Number : 320-577-7824
Provider Enumeration Date : 05/05/2026
Last Update Date : 05/05/2026

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Directions to “AZA SUPPLIES LLC ” Practice Location

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