Healthcare Provider Details

I. General information

NPI: 1881506210
Provider Name (Legal Business Name): VAIKUNTHALOKA STRAYHORN RN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 E LANCASTER AVE
VILLANOVA PA
19085-1478
US

IV. Provider business mailing address

720 S 4TH ST APT A
PHILADELPHIA PA
19147-3102
US

V. Phone/Fax

Practice location:
  • Phone: 610-519-4934
  • Fax:
Mailing address:
  • Phone: 610-519-4500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License NumberRN793024
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: