Organization Active NPI

Mandad Medical Supplies Inc.

  • Durable Medical Equipment & Medical Supplies
  • Woodbridge, VA
National Provider Identifier
1275559916
Registry record updated Jul 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MANDAD MEDICAL SUPPLIES INC.
Practice address
1816 Featherstone Rd
Woodbridge, VA 22191
Phone
(703) 441-1791
Fax
(703) 441-1793
NPI assigned
Jul 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2009

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

Authorized official

Name
Mr. Patrick Manwere Opoku-Manu
Title
Ceo
Phone
(703) 580-9790

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X VA Primary

Addresses

Primary practice location

1816 Featherstone Rd
Woodbridge, VA 22191

Mailing address

1816 Featherstone Rd
Woodbridge, VA 22191-3413
Phone (703) 441-1791

Other identifiers 1

IdentifierTypeStateIssuer
010227976MedicaidVA

National Provider Directory

National Provider Directory

Locations

1816 Featherstone Rd
Woodbridge, VA 22191
Phone (703) 441-1791

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247529600000",
    "number": "1275559916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1816 FEATHERSTONE RD",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221913413",
            "telephone_number": "703-441-1791",
            "fax_number": "703-441-1793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1816 FEATHERSTONE RD",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "22191",
            "telephone_number": "703-441-1791",
            "fax_number": "703-441-1793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANDAD MEDICAL SUPPLIES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2009-07-14",
        "status": "A",
        "authorized_official_last_name": "OPOKU-MANU",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "MANWERE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "703-580-9790",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010227976",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2009; 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.