Provider Demographics
NPI:1508674714
Name:DURABLE ORTHO
Entity type:Organization
Organization Name:DURABLE ORTHO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SAJITA
Authorized Official - Middle Name:
Authorized Official - Last Name:KALAKHETI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-200-6522
Mailing Address - Street 1:104 WOODED EAGLE CT
Mailing Address - Street 2:
Mailing Address - City:EXTON
Mailing Address - State:PA
Mailing Address - Zip Code:19341-3026
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:104 WOODED EAGLE CT
Practice Address - Street 2:
Practice Address - City:EXTON
Practice Address - State:PA
Practice Address - Zip Code:19341-3026
Practice Address - Country:US
Practice Address - Phone:908-200-6522
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-19
Last Update Date:2024-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies