Provider Demographics
NPI:1306021621
Name:MODERN MEDICAL EQUIPMENTS INC
Entity Type:Organization
Organization Name:MODERN MEDICAL EQUIPMENTS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ADEEL-UR
Authorized Official - Middle Name:
Authorized Official - Last Name:REHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-819-1003
Mailing Address - Street 1:25511 SOUTHFIELD RD
Mailing Address - Street 2:SUITE 126
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48075-1856
Mailing Address - Country:US
Mailing Address - Phone:248-552-8411
Mailing Address - Fax:248-552-8412
Practice Address - Street 1:25511 SOUTHFIELD RD
Practice Address - Street 2:SUITE 126
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48075-1856
Practice Address - Country:US
Practice Address - Phone:248-552-8411
Practice Address - Fax:248-552-8412
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-05
Last Update Date:2008-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI6077060001Medicare NSC