Provider Demographics
NPI:1245310556
Name:GNK MEDICAL SUPPLIER
Entity type:Organization
Organization Name:GNK MEDICAL SUPPLIER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:KAVITA
Authorized Official - Middle Name:GOPE
Authorized Official - Last Name:NEBHNANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-240-7919
Mailing Address - Street 1:1234 MISTY LAKE CT
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-5614
Mailing Address - Country:US
Mailing Address - Phone:281-380-1289
Mailing Address - Fax:713-952-7089
Practice Address - Street 1:7100 REGENCY SQUARE BLVD # 230-08
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-3202
Practice Address - Country:US
Practice Address - Phone:281-380-1289
Practice Address - Fax:713-952-7089
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies