Provider Demographics
NPI:1649363961
Name:ALL AMERICAN MEDICAL SUPPLY INC.
Entity type:Organization
Organization Name:ALL AMERICAN MEDICAL SUPPLY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SANJAY
Authorized Official - Middle Name:M
Authorized Official - Last Name:SHAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-245-2663
Mailing Address - Street 1:123 MILLSTONE DR
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48084-1738
Mailing Address - Country:US
Mailing Address - Phone:248-245-2663
Mailing Address - Fax:
Practice Address - Street 1:1380 COOLIDGE HWY
Practice Address - Street 2:SUITE 170
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48084-7018
Practice Address - Country:US
Practice Address - Phone:248-435-8365
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI5392820002Medicare NSC