Provider Demographics
NPI:1912701764
Name:PEAKS MEDICAL SUPPLY LLC
Entity type:Organization
Organization Name:PEAKS MEDICAL SUPPLY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:OM
Authorized Official - Middle Name:
Authorized Official - Last Name:DHUNGEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-788-8913
Mailing Address - Street 1:60 S HAVANA ST STE 612
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80012-1075
Mailing Address - Country:US
Mailing Address - Phone:720-788-8913
Mailing Address - Fax:720-556-6466
Practice Address - Street 1:60 S HAVANA ST STE 612
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80012-1075
Practice Address - Country:US
Practice Address - Phone:720-788-8913
Practice Address - Fax:720-556-6466
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-02
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies