Healthcare Provider Details
I. General information
NPI: 1508040346
Provider Name (Legal Business Name): NARAYAN CHIROPRACTIC INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/27/2007
Last Update Date: 11/27/2023
Certification Date: 11/27/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6020 CONSTITUTION AVE NE STE 1
ALBUQUERQUE NM
87110-5931
US
IV. Provider business mailing address
3610 CALLE DEL SOL NE
ALBUQUERQUE NM
87110-6112
US
V. Phone/Fax
- Phone: 55-819-3626
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | 1476 |
| License Number State | NM |
VIII. Authorized Official
Name: DR.
ARJAN
KAUR
KHALSA
Title or Position: OWNER
Credential: D.C.
Phone: 505-927-7970