Provider Demographics
NPI:1124352752
Name:SFO MEDICAL SUPPLIES INC
Entity type:Organization
Organization Name:SFO MEDICAL SUPPLIES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:AJAY
Authorized Official - Middle Name:
Authorized Official - Last Name:BHATIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:408-562-0058
Mailing Address - Street 1:1387 LOYOLA DR
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARA
Mailing Address - State:CA
Mailing Address - Zip Code:95051-3916
Mailing Address - Country:US
Mailing Address - Phone:408-562-0058
Mailing Address - Fax:408-404-6266
Practice Address - Street 1:1400 COLEMAN AVE
Practice Address - Street 2:STE # G16
Practice Address - City:SANTA CLARA
Practice Address - State:CA
Practice Address - Zip Code:95050-4309
Practice Address - Country:US
Practice Address - Phone:408-562-0058
Practice Address - Fax:408-404-6266
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-30
Last Update Date:2009-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies