Imudani Medical Supplies Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0060391 Issued in TX

Legal business name

IMUDANI MEDICAL SUPPLIES INC

Practice address

2401 W Pecan St
106
Pflugerville, TX 78660-3200

Phone

(512) 251-0369

Fax

(512) 251-9390

NPI assigned

Apr 13, 2006

Organization subpart

No

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

Authorized official

Name

Udom Ufot

Title

Owner

Phone

(512) 251-0369

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407810864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 W PECAN ST",
            "address_2": "106",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786603200",
            "telephone_number": "512-251-0369",
            "fax_number": "512-251-9390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 W PECAN ST",
            "address_2": "106",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786603200",
            "telephone_number": "512-251-0369",
            "fax_number": "512-251-9390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMUDANI MEDICAL SUPPLIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "UFOT",
        "authorized_official_first_name": "UDOM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-251-0369"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0060391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.