Providence PT & DME

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

R2484 Issued in MD

Legal business name

PROVIDENCE PT & DME

Practice address

5810 Riverdale Rd
Riverdale, MD 20737-2142

Phone

(301) 277-4337

Fax

(301) 277-4335

NPI assigned

Aug 7, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Guillaume Sery Kabert

Title

Ceo, President

Phone

(301) 277-4337

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186444800000",
    "number": "1700077377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5810 RIVERDALE RD",
            "city": "RIVERDALE",
            "state": "MD",
            "postal_code": "207372142",
            "telephone_number": "301-277-4337",
            "fax_number": "301-277-4335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5810 RIVERDALE RD",
            "city": "RIVERDALE",
            "state": "MD",
            "postal_code": "207372142",
            "telephone_number": "301-277-4337",
            "fax_number": "301-277-4335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE PT & DME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-07",
        "last_updated": "2007-08-07",
        "status": "A",
        "authorized_official_last_name": "KABERT",
        "authorized_official_first_name": "GUILLAUME",
        "authorized_official_middle_name": "SERY",
        "authorized_official_title_or_position": "CEO, PRESIDENT",
        "authorized_official_telephone_number": "301-277-4337",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MD",
            "license": "R2484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Babak Razi, MD

• Durable Medical Equipment & Medical Supplies in Riverdale, MD
• Providers in Riverdale, MD by specialty
• Durable Medical Equipment & Medical Supplies in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2007; 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.