Healthcare Provider Details

I. General information

NPI: 1831033109
Provider Name (Legal Business Name): AYURIST LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/16/2026
Last Update Date: 04/16/2026
Certification Date: 04/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4494 MALDEN LN APT B
BEECH GROVE IN
46107-2944
US

IV. Provider business mailing address

3300 CAPITAL CENTER DR APT 109
RANCHO CORDOVA CA
95670-7976
US

V. Phone/Fax

Practice location:
  • Phone: 317-835-9055
  • Fax:
Mailing address:
  • Phone: 317-835-9055
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: RAMANDEEP JAWANDA JR.
Title or Position: OWNER
Credential:
Phone: 317-835-9055