MEDICARE: PIKA 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	:	1568316297
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PIKA MEDICAL SUPPLY LLC

Provider Business Mailing Address
First Line	:	3319 GREENFIELD RD # 496
Second Line	:
City	:	DEARBORN
State	:	MI
Zip	:	48120-1212
Country	:	US
Telephone Number	:	313-759-1800
Fax Number	:

Provider Business Practice Location Address
First Line	:	20363 BROOKWOOD ST
Second Line	:
City	:	DEARBORN HEIGHTS
State	:	MI
Zip	:	48127-2767
Country	:	US
Telephone Number	:	313-759-1800
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ALI SEBAI
Credential	:
Telephone Number	:	313-759-1800

Provider Enumeration Date	:	02/20/2026
Last Update Date	:	02/20/2026

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