Organization
EXPRESS MEDICAL EQUIPMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZEESHAN KHAN (OWNER)
(248) 733-9500
Entity
Organization
Contact information
Practice address
1210 SOUTER DR, TROY, MI 48083
(248) 733-9500
(248) 733-9400
Mailing address
1210 SOUTER DR, TROY, MI 48083-2837
(248) 733-9500
(248) 733-9400
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
5306003636
MI
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1316083868
BLUE CROSS BLUE SHIELD OF MICHIGAN
MI
05
—
1316083868
—
MI
Enumeration date
01/30/2007
Last updated
06/18/2018
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