Organization
SHAN MEDICAL EQUIPMENT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALI AL-KHAFAJI (PRESIDENT)
(586) 268-4100
Entity
Organization
Contact information
Practice address
35818 DEQUINDRE RD, STERLING HTS, MI 48310-4290
(586) 268-4100
(586) 268-4746
Mailing address
35818 DEQUINDRE RD, STERLING HTS, MI 48310-4290
(586) 268-4100
(586) 268-4746
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
540E00688
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
540E00688
BCBS
MI
05
—
873240637
—
MI
Enumeration date
05/27/2006
Last updated
11/03/2011
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