Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Khvicha Berulava

Individual provider Durable Medical Equipment & Medical Supplies · NPI 1386500015

Khvicha Berulava is a Durable Medical Equipment & Medical Supplies in Mineola, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2025

Practice location Address checks out

1539 Franklin Ave Rm 301
Mineola, NY 11501-4835
Phone: (347) 781-6115
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Durable Medical Equipment & Medical Supplies (primary) Taxonomy 332B00000X · Licence 2127903-DCWP (NY)

Record details

NPI number1386500015
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 26, 2025
Last updated in NPPESDecember 26, 2025
Certification dateDecember 26, 2025
Mailing address1539 Franklin Ave Rm 301, Mineola, NY 11501-4835

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