Provider Demographics
NPI:1932451424
Name:DYMI MEDICAL SUPPLY
Entity Type:Organization
Organization Name:DYMI MEDICAL SUPPLY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PEDRO
Authorized Official - Middle Name:ALBERTO
Authorized Official - Last Name:MURATI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:316-393-0804
Mailing Address - Street 1:7381 W 133RD ST
Mailing Address - Street 2:STE. 217
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66213-4750
Mailing Address - Country:US
Mailing Address - Phone:913-956-6618
Mailing Address - Fax:913-956-6670
Practice Address - Street 1:7381 W 133RD ST
Practice Address - Street 2:STE. 217
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66213-4750
Practice Address - Country:US
Practice Address - Phone:913-956-6618
Practice Address - Fax:913-956-6670
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-08
Last Update Date:2012-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies