# VITALFORT LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932070547
- **Authorized official:** MUHAMMAD KHAN (OWNER)
- **Authorized official phone:** (917) 525-2517

## Contact information

- **Practice address:** 630 LAKE KNOLL DR NW, LILBURN, GA 30047-8709
- **Practice address phone:** (917) 525-2517
- **Mailing address:** 630 LAKE KNOLL DR NW, LILBURN, GA 30047-8709
- **Mailing address phone:** (917) 525-2517

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |
| 332BD1200X | Dialysis Equipment & Supplies (DME) | — | — | Yes |

## Other

- **Enumeration date:** 09/16/2025
- **Last updated:** 06/23/2026