Provider Demographics
NPI:1356147821
Name:CONNEXA DME CORPORATION
Entity type:Organization
Organization Name:CONNEXA DME CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ATTIQ
Authorized Official - Middle Name:U
Authorized Official - Last Name:RAHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-434-9279
Mailing Address - Street 1:3635 EAGLE ROCK CT
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22192-6404
Mailing Address - Country:US
Mailing Address - Phone:888-434-9279
Mailing Address - Fax:
Practice Address - Street 1:3635 EAGLE ROCK CT
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22192-6404
Practice Address - Country:US
Practice Address - Phone:888-434-9279
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-24
Last Update Date:2025-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies