Healthcare Provider Details

I. General information

NPI: 1215765425
Provider Name (Legal Business Name): AURINDRO LAHIRI PT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/22/2024
Last Update Date: 07/22/2024
Certification Date: 07/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3811 COMMONS AVE NE
ALBUQUERQUE NM
87109-5832
US

IV. Provider business mailing address

1727 LARK DR NE
RIO RANCHO NM
87144-4182
US

V. Phone/Fax

Practice location:
  • Phone: 505-345-9599
  • Fax:
Mailing address:
  • Phone: 505-252-3477
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT-2023-2125
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: