Provider Demographics
NPI:1669040598
Name:365 MEDICAL SUPPLIES INCORPORATED
Entity Type:Organization
Organization Name:365 MEDICAL SUPPLIES INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:AHMED
Authorized Official - Middle Name:A
Authorized Official - Last Name:MOHAMED
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:412-927-1834
Mailing Address - Street 1:8102 GEORGIA ST.
Mailing Address - Street 2:
Mailing Address - City:MERRILLVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46410-6225
Mailing Address - Country:US
Mailing Address - Phone:800-935-9781
Mailing Address - Fax:
Practice Address - Street 1:8102 GEORGIA ST.
Practice Address - Street 2:
Practice Address - City:MERRILLVILLE
Practice Address - State:IN
Practice Address - Zip Code:46410-6225
Practice Address - Country:US
Practice Address - Phone:800-935-9781
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-16
Last Update Date:2021-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies