Provider Demographics
NPI:1891988002
Name:NEW MIDWEST MEDICAL EQUIPMENT AND SUPPLY
Entity Type:Organization
Organization Name:NEW MIDWEST MEDICAL EQUIPMENT AND SUPPLY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MUHAMMED
Authorized Official - Middle Name:
Authorized Official - Last Name:REHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-569-3134
Mailing Address - Street 1:6792 STONEBRIDGE CT
Mailing Address - Street 2:
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48322-3265
Mailing Address - Country:US
Mailing Address - Phone:248-569-3134
Mailing Address - Fax:248-569-8159
Practice Address - Street 1:6792 STONEBRIDGE CT
Practice Address - Street 2:
Practice Address - City:WEST BLOOMFIELD
Practice Address - State:MI
Practice Address - Zip Code:48322-3265
Practice Address - Country:US
Practice Address - Phone:248-569-3134
Practice Address - Fax:248-569-8159
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-21
Last Update Date:2007-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4237153Medicaid
MI4237153Medicaid