Provider Demographics
NPI:1679859185
Name:ACCORD MEDICAL INC
Entity Type:Organization
Organization Name:ACCORD MEDICAL INC
Other - Org Name:ACCORD MEDICAL INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MAHAD
Authorized Official - Middle Name:KHALIF
Authorized Official - Last Name:JAMA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-345-3290
Mailing Address - Street 1:2727 E 26TH ST STE 1
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55406-1313
Mailing Address - Country:US
Mailing Address - Phone:612-876-8052
Mailing Address - Fax:612-354-3845
Practice Address - Street 1:2637 27TH AVE S STE 104
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55406-3079
Practice Address - Country:US
Practice Address - Phone:612-354-3290
Practice Address - Fax:612-354-3845
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-27
Last Update Date:2022-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies