MEDICARE: IMEDIAGLOBALSOLUTIONS 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	:	1982407896
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	IMEDIAGLOBALSOLUTIONS LLC

Provider Business Mailing Address
First Line	:	7168 BAY VIEW DR
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46214-1367
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7168 BAY VIEW DR
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46214-1367
Country	:	US
Telephone Number	:	570-554-2248
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	TABA KHAN
Credential	:
Telephone Number	:	570-554-2248

Provider Enumeration Date	:	03/28/2025
Last Update Date	:	03/28/2025

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