Organization
MEDSUPPLY CORPORATION, INC.
Active
Other names
MedSupply Corp
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MOHAMMAD ASHRAF QAZI (CEO)
(248) 386-0300
Entity
Organization
Contact information
Practice address
33333 DEQUINDRE RD, SUITE A, TROY, MI 48083-4624
(248) 597-9004
(248) 597-9012
Mailing address
33333 DEQUINDRE RD, SUITE A, TROY, MI 48083-4624
(248) 597-9004
(248) 597-9012
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4577093
—
MI
01
—
540F317600
BCBSM
MI
Enumeration date
07/05/2005
Last updated
02/02/2024
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