Excel Medical Supply LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

EXCEL MEDICAL SUPPLY LLC

Practice address

30700 Telegraph Rd # 2501
Bingham Farms, MI 48025-4524

Phone

(248) 571-2290

Fax

(248) 593-9120

NPI assigned

Feb 11, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Fahim Uddin

Title

President

Phone

(313) 549-7708

Specialties & licenses 1

Addresses

Other names 1

• Excel Prosthetic & Orthotic Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1613001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616112000000",
    "number": "1144813007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30700 TELEGRAPH RD # 2501",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254524",
            "telephone_number": "248-571-2290",
            "fax_number": "248-593-9120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30700 TELEGRAPH RD # 2501",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254524",
            "telephone_number": "248-571-2290",
            "fax_number": "248-593-9120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEL MEDICAL SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-11",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A",
        "authorized_official_last_name": "UDDIN",
        "authorized_official_first_name": "FAHIM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-549-7708"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Excel Prosthetic & Orthotic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Iretha Evans
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• Mackenzie Jacob Faerber
• Afzal H Fahim
• Elizabeth Fajardo
• Nikia Fann
• Fatima Faraj

• Prosthetic/Orthotic Supplier in Bingham Farms, MI
• Providers in Bingham Farms, MI by specialty
• Prosthetic/Orthotic Supplier in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.