Provider Demographics
NPI:1386975852
Name:SHEILDS MEDICAL EQUIPMENT INC.
Entity type:Organization
Organization Name:SHEILDS MEDICAL EQUIPMENT INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO / PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ONIK
Authorized Official - Middle Name:
Authorized Official - Last Name:SARIBEKYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:559-244-0134
Mailing Address - Street 1:519 W SHIELDS AVE
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93705-4027
Mailing Address - Country:US
Mailing Address - Phone:559-244-0134
Mailing Address - Fax:559-244-0135
Practice Address - Street 1:519 W SHIELDS AVE
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93705-4027
Practice Address - Country:US
Practice Address - Phone:559-244-0134
Practice Address - Fax:559-244-0135
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-23
Last Update Date:2010-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA6427680001Medicare NSC