MEDICARE: UNIVERSAL MEDHEALTH INC

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	:	1588985907
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNIVERSAL MEDHEALTH INC

Provider Business Mailing Address
First Line	:	9008 CRIMSON CLOVER WAY
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89134-1811
Country	:	US
Telephone Number	:	702-767-6886
Fax Number	:	866-855-3199

Provider Business Practice Location Address
First Line	:	9008 CRIMSON CLOVER WAY
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89134-1811
Country	:	US
Telephone Number	:	702-767-6886
Fax Number	:

Authorized Official
Title or Position	:	CEO/PRESIDENT
Name	:	MR. PANKAJ K MADALIA
Credential	:	BS MBA
Telephone Number	:	702-767-6886

Provider Enumeration Date	:	06/21/2010
Last Update Date	:	06/21/2010

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