Provider Demographics
NPI:1801511878
Name:ALLIED ADVANCED TECHNOLOGIES CORPORATION
Entity type:Organization
Organization Name:ALLIED ADVANCED TECHNOLOGIES CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SAEED
Authorized Official - Middle Name:
Authorized Official - Last Name:REZAKHANY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:408-665-5854
Mailing Address - Street 1:650 S WINCHESTER BLVD STE 205
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95128-2524
Mailing Address - Country:US
Mailing Address - Phone:408-665-5854
Mailing Address - Fax:
Practice Address - Street 1:650 S WINCHESTER BLVD STE 205
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95128-2524
Practice Address - Country:US
Practice Address - Phone:408-665-5854
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-11
Last Update Date:2022-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment