Organization Active NPI

Apollo Healthcare Supply Inc

  • Durable Medical Equipment & Medical Supplies
  • Tukwila, WA
National Provider Identifier
1992010888
Registry record updated Apr 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
603029452 Issued in WA
Legal business name
APOLLO HEALTHCARE SUPPLY INC
Practice address
5200 Southcenter Blvd
Suite 200
Tukwila, WA 98188-2356
Phone
(206) 244-0009
Fax
(206) 243-0079
NPI assigned
Aug 16, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2013

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

Authorized official

Name
Dr. Mauziar Nikzad, M.D.
Title
President
Phone
(425) 351-0091

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 603029452 WA Primary

Addresses

Primary practice location

5200 Southcenter Blvd
Suite 200
Tukwila, WA 98188-2356

Mailing address

5200 Southcenter Blvd
Suite 200
Tukwila, WA 98188-2356
Phone (206) 244-0009

National Provider Directory

National Provider Directory

Locations

502 Rainier Ave S
Ste 206
Seattle, WA 98144
Phone (206) 244-0009

5200 Southcenter Blvd
Ste 200
Tukwila, WA 98188
Phone (206) 244-0009

NPI Registry JSON

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

{
    "created_epoch": "1281916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366934400000",
    "number": "1992010888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 SOUTHCENTER BLVD",
            "address_2": "SUITE 200",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981882356",
            "telephone_number": "206-244-0009",
            "fax_number": "206-243-0079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 SOUTHCENTER BLVD",
            "address_2": "SUITE 200",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981882356",
            "telephone_number": "206-244-0009",
            "fax_number": "206-243-0079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APOLLO HEALTHCARE SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-16",
        "last_updated": "2013-04-26",
        "status": "A",
        "authorized_official_last_name": "NIKZAD",
        "authorized_official_first_name": "MAUZIAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-351-0091",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "WA",
            "license": "603029452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tukwila, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2013; 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.