Provider Demographics
NPI:1053027110
Name:DUNE MEDICAL SUPPLY LLC
Entity type:Organization
Organization Name:DUNE MEDICAL SUPPLY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CHAUDHRY
Authorized Official - Middle Name:SHABBIR
Authorized Official - Last Name:AHMED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-587-3223
Mailing Address - Street 1:2310 N CENTENNIAL ST STE 102
Mailing Address - Street 2:
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27265-3455
Mailing Address - Country:US
Mailing Address - Phone:336-885-0115
Mailing Address - Fax:
Practice Address - Street 1:2310 N CENTENNIAL ST STE 102
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27265-3455
Practice Address - Country:US
Practice Address - Phone:336-885-0115
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-23
Last Update Date:2024-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies