Provider Demographics
NPI:1265657142
Name:KHALSA, NARANGKAR (CMT)
Entity Type:Individual
Prefix:MS
First Name:NARANGKAR
Middle Name:
Last Name:KHALSA
Suffix:
Gender:F
Credentials:CMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:334 40TH ST # A
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94609-2609
Mailing Address - Country:US
Mailing Address - Phone:510-541-8693
Mailing Address - Fax:
Practice Address - Street 1:1543 SHATTUCK AVE
Practice Address - Street 2:SUITE 202
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94709-1570
Practice Address - Country:US
Practice Address - Phone:510-541-8693
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist