Provider Demographics
NPI:1831238302
Name:SUPERIOR MEDICAL EQUIPMENT AND SUPPLIES INC
Entity type:Organization
Organization Name:SUPERIOR MEDICAL EQUIPMENT AND SUPPLIES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MAHMOOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-542-7440
Mailing Address - Street 1:56187 NICKELBY S
Mailing Address - Street 2:
Mailing Address - City:SHELBY TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48316-5502
Mailing Address - Country:US
Mailing Address - Phone:248-542-7440
Mailing Address - Fax:248-545-4327
Practice Address - Street 1:27031 DEQUINDRE RD
Practice Address - Street 2:
Practice Address - City:MADISON HTS
Practice Address - State:MI
Practice Address - Zip Code:48071-3401
Practice Address - Country:US
Practice Address - Phone:248-542-7440
Practice Address - Fax:248-545-4327
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0F31746OtherBCBS PROVIDER NUMBER
MI0F31746OtherBCBS PROVIDER NUMBER