Provider Demographics
NPI:1770303133
Name:SAIL MED LLC
Entity type:Organization
Organization Name:SAIL MED LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SHAHID
Authorized Official - Middle Name:
Authorized Official - Last Name:AFZAAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-717-1329
Mailing Address - Street 1:7230 NIGHTINGALE LANE
Mailing Address - Street 2:APARTMENT 404
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22306
Mailing Address - Country:US
Mailing Address - Phone:703-717-1329
Mailing Address - Fax:
Practice Address - Street 1:7230 NIGHTINGALE LANE
Practice Address - Street 2:APARTMENT 404
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22306
Practice Address - Country:US
Practice Address - Phone:703-717-1329
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-11
Last Update Date:2024-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies