Provider Demographics
NPI:1306681879
Name:DME BILLING ENTERPRISES LLC
Entity type:Organization
Organization Name:DME BILLING ENTERPRISES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SHARE HOLDER OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KRISHNA
Authorized Official - Middle Name:
Authorized Official - Last Name:PENUGONDA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-347-0645
Mailing Address - Street 1:10302 ASHFORD GABLES DR
Mailing Address - Street 2:
Mailing Address - City:DUNWOODY
Mailing Address - State:GA
Mailing Address - Zip Code:30338-7875
Mailing Address - Country:US
Mailing Address - Phone:909-347-0645
Mailing Address - Fax:
Practice Address - Street 1:10302 ASHFORD GABLES DR
Practice Address - Street 2:
Practice Address - City:DUNWOODY
Practice Address - State:GA
Practice Address - Zip Code:30338-7875
Practice Address - Country:US
Practice Address - Phone:909-347-0645
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DME BILLING ENTERPRISES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-06-27
Last Update Date:2024-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment