Provider Demographics
NPI:1396740098
Name:METRO MEDICAL EQUIPMENT & SUPPLIES, INC.
Entity type:Organization
Organization Name:METRO MEDICAL EQUIPMENT & SUPPLIES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHAHNAZ
Authorized Official - Middle Name:
Authorized Official - Last Name:MAHMUD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-581-7720
Mailing Address - Street 1:13333 MICHIGAN AVE
Mailing Address - Street 2:
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48126-3540
Mailing Address - Country:US
Mailing Address - Phone:313-581-7720
Mailing Address - Fax:313-581-7758
Practice Address - Street 1:13333 MICHIGAN AVE
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48126-3540
Practice Address - Country:US
Practice Address - Phone:313-581-7720
Practice Address - Fax:313-581-7758
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0981710001Medicare NSC