Provider Demographics
NPI:1871312025
Name:DMAKTIN
Entity type:Organization
Organization Name:DMAKTIN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MUHAMMAD
Authorized Official - Middle Name:
Authorized Official - Last Name:IRFAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:408-622-0120
Mailing Address - Street 1:109 GRAPE ST APT R
Mailing Address - Street 2:
Mailing Address - City:CHICOPEE
Mailing Address - State:MA
Mailing Address - Zip Code:01013
Mailing Address - Country:US
Mailing Address - Phone:413-693-5334
Mailing Address - Fax:
Practice Address - Street 1:109 GRAPE ST APT R
Practice Address - Street 2:
Practice Address - City:CHICOPEE
Practice Address - State:MA
Practice Address - Zip Code:01013
Practice Address - Country:US
Practice Address - Phone:413-693-5334
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-05
Last Update Date:2024-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies