Healthcare Provider Details

I. General information

NPI: 1891694709
Provider Name (Legal Business Name): ARCHE HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/05/2026
Last Update Date: 11/05/2026
Certification Date: 11/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8232 LOUISIANA BLVD NE STE A
ALBUQUERQUE NM
87113-2429
US

IV. Provider business mailing address

8232 LOUISIANA BLVD NE STE A
ALBUQUERQUE NM
87113-2429
US

V. Phone/Fax

Practice location:
  • Phone: 505-605-3286
  • Fax: 505-439-7139
Mailing address:
  • Phone: 505-605-3286
  • Fax: 505-439-7139

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MOHAN MUVVALA
Title or Position: PHYSICIAN
Credential: DO
Phone: 408-835-5808