Organization
MEDRAX LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RIZWAN SOHAIL (CEO)
(480) 550-8566
Entity
Organization
Contact information
Practice address
30 W GALVESTON ST STE 4, CHANDLER, AZ 85225-6714
(480) 550-8566
(480) 372-3067
Mailing address
30 W GALVESTON ST STE 4, CHANDLER, AZ 85225-6714
(480) 550-5866
(480) 372-3067
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C002505
LICENSE
AZ
Enumeration date
06/14/2024
Last updated
12/20/2024
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