Provider Demographics
NPI:1366862245
Name:SOMNIUM DME LLC
Entity Type:Organization
Organization Name:SOMNIUM DME LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RAVI
Authorized Official - Middle Name:
Authorized Official - Last Name:MAHADEVIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:312-498-4259
Mailing Address - Street 1:8100 S WALKER AVE
Mailing Address - Street 2:BUILDING C
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73139-9402
Mailing Address - Country:US
Mailing Address - Phone:405-606-8904
Mailing Address - Fax:405-606-8905
Practice Address - Street 1:8100 S WALKER AVE
Practice Address - Street 2:BUILDING C
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73139-9402
Practice Address - Country:US
Practice Address - Phone:405-606-8904
Practice Address - Fax:405-606-8905
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-18
Last Update Date:2014-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies