Provider Demographics
NPI:1417277138
Name:HI-TECH PROSTHETICS & ORTHOTICS,INC.
Entity Type:Organization
Organization Name:HI-TECH PROSTHETICS & ORTHOTICS,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RAMESH
Authorized Official - Middle Name:
Authorized Official - Last Name:DUBEY
Authorized Official - Suffix:
Authorized Official - Credentials:CPO
Authorized Official - Phone:731-642-9984
Mailing Address - Street 1:266 S CLEVELAND ST STE 102
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38104-3520
Mailing Address - Country:US
Mailing Address - Phone:901-590-0354
Mailing Address - Fax:901-590-4319
Practice Address - Street 1:1027 MINERAL WELLS AVE
Practice Address - Street 2:SUITE 2B
Practice Address - City:PARIS
Practice Address - State:TN
Practice Address - Zip Code:38242
Practice Address - Country:US
Practice Address - Phone:731-642-9984
Practice Address - Fax:731-642-9986
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-04
Last Update Date:2023-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNPROSTHETIST - 99335E00000X
TNORTHOTIST -129335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN6395080001Medicare NSC