MEDICARE: OAK SUPPLIES 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	291U00000X	Clinical Medical Laboratory
2	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1689547416
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OAK SUPPLIES INC

Provider Business Mailing Address
First Line	:	3640 PARK 42 DR
Second Line	:
City	:	SHARONVILLE
State	:	OH
Zip	:	45241-2072
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3640 PARK 42 DR
Second Line	:
City	:	SHARONVILLE
State	:	OH
Zip	:	45241-2072
Country	:	US
Telephone Number	:	313-784-6093
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	NAZIM UDDIN MOHAMMED
Credential	:
Telephone Number	:	313-784-6093

Provider Enumeration Date	:	09/26/2025
Last Update Date	:	03/13/2026

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