Provider Demographics
NPI:1598006389
Name:HUMAN TECHNOLOGY, INC.
Entity type:Organization
Organization Name:HUMAN TECHNOLOGY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RAMESH
Authorized Official - Middle Name:D
Authorized Official - Last Name:DUBEY
Authorized Official - Suffix:
Authorized Official - Credentials:CPO/LPO
Authorized Official - Phone:901-590-0354
Mailing Address - Street 1:266 S CLEVELAND ST STE 102
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38104-3520
Mailing Address - Country:US
Mailing Address - Phone:901-590-0354
Mailing Address - Fax:901-590-4319
Practice Address - Street 1:1880 GOODMAN ROAD E
Practice Address - Street 2:
Practice Address - City:SOUTHAVEN
Practice Address - State:MS
Practice Address - Zip Code:38672-6433
Practice Address - Country:US
Practice Address - Phone:662-349-4909
Practice Address - Fax:662-349-7989
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-05
Last Update Date:2023-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNPROSTHETICS--99335E00000X
TN335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1529639Medicaid
TN6636650001Medicare NSC