Provider Demographics
NPI:1912957150
Name:R K MEDICAL EQUIPMENT, INC.
Entity type:Organization
Organization Name:R K MEDICAL EQUIPMENT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:GEETA
Authorized Official - Middle Name:H
Authorized Official - Last Name:DHARIA
Authorized Official - Suffix:
Authorized Official - Credentials:RRT
Authorized Official - Phone:248-360-9500
Mailing Address - Street 1:6129 BEACHWOOD DR
Mailing Address - Street 2:
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48324-1390
Mailing Address - Country:US
Mailing Address - Phone:248-360-9500
Mailing Address - Fax:248-360-9501
Practice Address - Street 1:6129 BEACHWOOD DR
Practice Address - Street 2:
Practice Address - City:WEST BLOOMFIELD
Practice Address - State:MI
Practice Address - Zip Code:48324-1390
Practice Address - Country:US
Practice Address - Phone:248-360-9500
Practice Address - Fax:248-360-9501
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI066243332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI2992940Medicaid
MI0656140001Medicare ID - Type UnspecifiedMEDICARE PROVIDER NO.