Medinova, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

1001218 Issued in TX

Legal business name

MEDINOVA, INC.

Doing business as

Sugar Land Medical Supply

Practice address

16126 Southwest Fwy
Suite # 100
Sugar Land, TX 77479-2638

Phone

(281) 201-2400

NPI assigned

Dec 27, 2016

Last updated

Dec 30, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Nishat Vazir

Title

President

Phone

(281) 201-2400

Specialties & licenses 1

Addresses

Other names 1

• Sugar Land Medical Supply Doing business as

Locations

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

{
    "created_epoch": "1482796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483056000000",
    "number": "1972048064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16126 SOUTHWEST FWY",
            "address_2": "SUITE # 100",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774792638",
            "telephone_number": "281-201-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16126 SOUTHWEST FWY",
            "address_2": "SUITE # 100",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774792638",
            "telephone_number": "281-201-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDINOVA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-27",
        "last_updated": "2016-12-30",
        "status": "A",
        "authorized_official_last_name": "VAZIR",
        "authorized_official_first_name": "NISHAT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-201-2400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "1001218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sugar Land Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Sugar Land, TX
• Providers in Sugar Land, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2016; 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.