Mike Medical Supply Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MIKE MEDICAL SUPPLY INC

Practice address

15565 Northland Dr E Ste 812
Southfield, MI 48075-5329

Phone

(248) 934-0563

NPI assigned

Dec 6, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Manoj Kumar VelagandulaNPI 1689159964

Title

Ceo

Phone

(248) 934-0563

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Manoj Kumar Velagandula

  • Physical Therapy Assistant
  • West Bloomfield, MI
  • NPI 1689159964
  NPD Authorized official

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

{
    "created_epoch": "1607212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607212800000",
    "number": "1336745371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15565 NORTHLAND DR E STE 812",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480755329",
            "telephone_number": "248-934-0563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15565 NORTHLAND DR E STE 812",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480755329",
            "telephone_number": "248-934-0563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIKE MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-06",
        "last_updated": "2020-12-06",
        "certification_date": "2020-12-06",
        "status": "A",
        "authorized_official_last_name": "VELAGANDULA",
        "authorized_official_first_name": "MANOJ KUMAR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "248-934-0563",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Midwest Medical Point of Care PC
• Kimberly A Mier, LLPC
• Amanda Mies, LLMSW
• Razvan Dragos Mihalache, PA-C
• Mike Kostakos, DDS, P.C.
• Mervat Mikhaeil
• Shravani Mikkilineni
• Sara Mikolajczak
• Elizabeth Mae Mikulec, R.D.
• Allura Milan

• Durable Medical Equipment & Medical Supplies in Southfield, MI
• Providers in Southfield, MI by specialty
• Durable Medical Equipment & Medical Supplies in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2020; 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.