Provider Demographics
NPI:1134826357
Name:PROSPECT HEALTH SOLUTIONS INC
Entity type:Organization
Organization Name:PROSPECT HEALTH SOLUTIONS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHAUDHRY
Authorized Official - Middle Name:SHABBIR
Authorized Official - Last Name:AHMED
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:336-587-3223
Mailing Address - Street 1:5460 N STATE ROAD 7 STE 219
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33319-2969
Mailing Address - Country:US
Mailing Address - Phone:888-596-0290
Mailing Address - Fax:
Practice Address - Street 1:5460 N STATE ROAD 7 STE 219
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33319-2969
Practice Address - Country:US
Practice Address - Phone:888-596-0290
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-08
Last Update Date:2024-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No335E00000XSuppliersProsthetic/Orthotic Supplier