Provider Demographics
NPI:1255519989
Name:GRADE III MEDICAL CONCEPTS INC.
Entity type:Organization
Organization Name:GRADE III MEDICAL CONCEPTS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TEKCHAND
Authorized Official - Middle Name:
Authorized Official - Last Name:THAKURDIAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-431-8885
Mailing Address - Street 1:628 BEVERLEY RD
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11218-3202
Mailing Address - Country:US
Mailing Address - Phone:718-431-8885
Mailing Address - Fax:
Practice Address - Street 1:628 BEVERLEY RD
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11218-3202
Practice Address - Country:US
Practice Address - Phone:718-431-8885
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-05
Last Update Date:2008-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY6110150001Medicare NSC