Healthcare Provider Details

I. General information

NPI: 1629407960
Provider Name (Legal Business Name): OMKARA HEALTH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/07/2013
Last Update Date: 04/19/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

72 MANHATTAN AVE
BROOKLYN NY
11206-3147
US

IV. Provider business mailing address

72 MANHATTAN AVE
BROOKLYN NY
11206-3147
US

V. Phone/Fax

Practice location:
  • Phone: 718-388-8500
  • Fax: 718-388-8755
Mailing address:
  • Phone: 718-388-8500
  • Fax: 718-388-8755

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number032439
License Number StateNY

VIII. Authorized Official

Name: SHRUTI JOSHI
Title or Position: PRESIDENT
Credential:
Phone: 718-388-8500