Provider Demographics
NPI:1598039216
Name:ELITE MEDICAL SUPPLIES OF OH, INC.
Entity Type:Organization
Organization Name:ELITE MEDICAL SUPPLIES OF OH, INC.
Other - Org Name:ELITE MEDICAL SUPPLIES
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RAKESH
Authorized Official - Middle Name:
Authorized Official - Last Name:KAPIL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-326-1108
Mailing Address - Street 1:206 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MOUNT VERNON
Mailing Address - State:OH
Mailing Address - Zip Code:43050-3304
Mailing Address - Country:US
Mailing Address - Phone:740-326-1108
Mailing Address - Fax:740-326-1109
Practice Address - Street 1:206 S MAIN ST
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:OH
Practice Address - Zip Code:43050-3304
Practice Address - Country:US
Practice Address - Phone:740-326-1108
Practice Address - Fax:740-326-1109
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ELITE MEDICAL SUPPLIES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-02-27
Last Update Date:2012-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies