Healthcare Provider Details

I. General information

NPI: 1760021646
Provider Name (Legal Business Name): AKHAND SMRUTI LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/25/2019
Last Update Date: 02/01/2022
Certification Date: 02/01/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1011 SCRANTON CARBONDALE HWY STE 2
SCRANTON PA
18508-1127
US

IV. Provider business mailing address

1011 SCRANTON CARBONDALE HWY STE 2
SCRANTON PA
18508-1127
US

V. Phone/Fax

Practice location:
  • Phone: 570-382-8447
  • Fax:
Mailing address:
  • Phone: 570-382-8447
  • Fax: 570-300-2243

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KOMAL PATEL
Title or Position: OWNER
Credential:
Phone: 215-269-1182