Organization
MEDINOVA MEDICAL SUPPLIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RIDA FAISAL (MANAGING MEMBER)
(347) 424-9735
Entity
Organization
Contact information
Practice address
4345 MEIGS AVE STE 109, WATERFORD, MI 48329-1878
(248) 886-4363
Mailing address
4345 MEIGS AVE STE 109, WATERFORD, MI 48329-1878
(248) 886-4363
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
900155485
ARTICLES
MI
Enumeration date
02/19/2026
Last updated
02/19/2026
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