Provider Demographics
NPI:1457392342
Name:RYAN MEDICAL EQUIPMENT, INC
Entity Type:Organization
Organization Name:RYAN MEDICAL EQUIPMENT, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KHALID
Authorized Official - Middle Name:
Authorized Official - Last Name:FAYYAZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:586-757-1110
Mailing Address - Street 1:4561 E 9 MILE RD
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:MI
Mailing Address - Zip Code:48091-2591
Mailing Address - Country:US
Mailing Address - Phone:586-757-1110
Mailing Address - Fax:586-757-1148
Practice Address - Street 1:4561 E 9 MILE RD
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:MI
Practice Address - Zip Code:48091-2591
Practice Address - Country:US
Practice Address - Phone:586-757-1110
Practice Address - Fax:586-757-1148
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-09
Last Update Date:2008-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI540E019100OtherBLUE CROSS BLUE SHIELD
MI4936501Medicaid
MI4936501Medicaid