Provider Demographics
NPI:1790647253
Name:ALLMED SUPPLY INC
Entity type:Organization
Organization Name:ALLMED SUPPLY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:MS
Authorized Official - First Name:MAVJUDA
Authorized Official - Middle Name:
Authorized Official - Last Name:KHOTAMOVA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-343-9980
Mailing Address - Street 1:540 OCEAN PKWY APT 4D
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11218-5878
Mailing Address - Country:US
Mailing Address - Phone:202-343-9980
Mailing Address - Fax:
Practice Address - Street 1:540 OCEAN PKWY APT 4D
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11218-5878
Practice Address - Country:US
Practice Address - Phone:202-343-9980
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-12-02
Last Update Date:2025-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies