Organization
SOUTH MED DME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HASNAIN AIJAZ (AUTHORIZED OFFICIAL)
(504) 512-2281
Entity
Organization
Contact information
Practice address
1 WESTBURY DR STE 260, SAINT CHARLES, MO 63301-2561
(504) 512-2281
Mailing address
900 CORUM WAY CT, CREVE COEUR, MO 63141-6358
(504) 512-2281
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/13/2024
Last updated
08/04/2026
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