Provider Demographics
NPI:1245070580
Name:MEDISMART MEDICAL SUPPLIES LLC
Entity type:Organization
Organization Name:MEDISMART MEDICAL SUPPLIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:FAHEEM
Authorized Official - Middle Name:
Authorized Official - Last Name:CHANDA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-896-4953
Mailing Address - Street 1:6000 REIMS RD APT 2407
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-3052
Mailing Address - Country:US
Mailing Address - Phone:832-896-4953
Mailing Address - Fax:
Practice Address - Street 1:6000 REIMS RD APT 2407
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-3052
Practice Address - Country:US
Practice Address - Phone:832-896-4953
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-24
Last Update Date:2024-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment