Organization
JK PREMIUM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SYED AYAN ALI GARDEZI (OWNER)
(571) 550-0137
Entity
Organization
Contact information
Practice address
847 S GREENBRIER ST APT 71, ARLINGTON, VA 22204-2720
(571) 550-0137
(571) 550-0137
Mailing address
847 S GREENBRIER ST APT 71, ARLINGTON, VA 22204-2720
(571) 550-0137
(571) 550-0137
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/10/2025
Last updated
11/10/2025
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