Provider Demographics
NPI:1578873196
Name:DUBLIN MEDICAL SUPPLY
Entity Type:Organization
Organization Name:DUBLIN MEDICAL SUPPLY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:YAHYA
Authorized Official - Middle Name:SAYED
Authorized Official - Last Name:GHAZANFAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:925-548-8992
Mailing Address - Street 1:5450 DE MARCUS BLVD
Mailing Address - Street 2:APT. 340
Mailing Address - City:DUBLIN
Mailing Address - State:CA
Mailing Address - Zip Code:94568-7642
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6966 VILLAGE PKWY
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:CA
Practice Address - Zip Code:94568-2406
Practice Address - Country:US
Practice Address - Phone:925-548-8992
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:B&G BIOMEDICAL CORPORATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-10-16
Last Update Date:2010-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies