NPI Registry.org

Mavidala Supply Llc

NPI Registration Record

Provider / OrganizationNPIDate Certified
MAVIDALA SUPPLY LLC14479865832022-07-30

The organization Mavidala Supply Llc is registered with the National Plan and Provider Enumeration System (NPPES) and has the assigned NPI of 1447986583. Registration indicates Mavidala Supply Llc is a provider of services with a specialization in Suppliers, Durable Medical Equipment & Medical Supplies (Durable Medical Equipment & Medical Supplies, ) (Pharmacy/DME, ) (Durable Medical Equipment & Medical Supplies, Suppliers)

Entity TypeOrganization
Provider OrganizationMAVIDALA SUPPLY LLC
Practice Office Address701 TILLERY ST STE 12
AUSTIN, TX US
Practice Office Telephone9033060568
Practice Office Fax9033060568
Mailing Address701 TILLERY ST STE 12
AUSTIN, TX 787023751 US
Business Telephone9033060568
Business Fax9033060568
Authorized OfficialAZRA MAJEED, CEO
9033060568
HPT Codes
CodePractice
License No
State
332B00000X PRIMARY
Suppliers
Durable Medical Equipment & Medical Supplies
Durable Medical Equipment & Medical Supplies

Pharmacy/DME

Durable Medical Equipment & Medical Supplies
Suppliers
OPI Codes
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