Organization
HAWKEYE MEDICAL, LLC
Active
Other names
Colmbia Medical Supply
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ASHOK F KAPUR (MANAGER)
(443) 832-4244
Entity
Organization
Contact information
Practice address
10630 LITTLE PATUXENT PKWY, SUITE 126, COLUMBIA, MD 21044-3264
(443) 832-4244
(443) 832-4375
Mailing address
10630 LITTLE PATUXENT PKWY, SUITE 126, COLUMBIA, MD 21044-3264
(443) 832-4244
(443) 832-4375
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012196700
—
MD
Enumeration date
01/02/2007
Last updated
09/24/2014
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