Provider Demographics
NPI:1689463077
Name:CH MANNAN LLC
Entity type:Organization
Organization Name:CH MANNAN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CHOUDHRY A
Authorized Official - Middle Name:
Authorized Official - Last Name:MANNAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:707-676-6322
Mailing Address - Street 1:20-24 CRESCENT ST
Mailing Address - Street 2:APT 2C
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11105-3255
Mailing Address - Country:US
Mailing Address - Phone:845-207-6323
Mailing Address - Fax:
Practice Address - Street 1:20-24 CRESCENT ST
Practice Address - Street 2:APT 2C
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11105-3255
Practice Address - Country:US
Practice Address - Phone:845-207-6323
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-02
Last Update Date:2025-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies