Healthcare Provider Details

I. General information

NPI: 1306727490
Provider Name (Legal Business Name): ACUPUNCTURE ACUYOGA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2025
Last Update Date: 09/16/2025
Certification Date: 09/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12321 MIDDLEBROOK RD STE 250
GERMANTOWN MD
20874-1591
US

IV. Provider business mailing address

12612 BRIDGETON DR
POTOMAC MD
20854-1000
US

V. Phone/Fax

Practice location:
  • Phone: 240-639-2204
  • Fax: 240-720-0352
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code202D00000X
TaxonomyIntegrative Medicine Physician
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. BALREET KAUR
Title or Position: MANAGING MEMBER
Credential: DAC, LAC, NCCAOM
Phone: 240-639-2204