Provider Demographics
NPI:1700321890
Name:SVAS MEDICAL GROUP WHOLESALE DIST LLC
Entity Type:Organization
Organization Name:SVAS MEDICAL GROUP WHOLESALE DIST LLC
Other - Org Name:GENERATIONS MEDICAL SUPPLY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:VISH
Authorized Official - Middle Name:
Authorized Official - Last Name:CHILAKAPATI
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:281-232-5559
Mailing Address - Street 1:19780 SOUTHWEST FWY
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-6594
Mailing Address - Country:US
Mailing Address - Phone:281-232-5559
Mailing Address - Fax:
Practice Address - Street 1:19780 SOUTHWEST FWY
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-6594
Practice Address - Country:US
Practice Address - Phone:281-232-5559
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-27
Last Update Date:2016-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1001034332B00000X, 332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies