Provider Demographics
NPI:1275233215
Name:AIM PUROHIT HEALTHCARE PROVIDERS NV, PC
Entity Type:Organization
Organization Name:AIM PUROHIT HEALTHCARE PROVIDERS NV, PC
Other - Org Name:AIM HEALTHCARE PROVIDERS NV, PC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CREDENTIAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:
Authorized Official - Last Name:KARANIUK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-447-6841
Mailing Address - Street 1:161 E RIVULON BLVD STE 210
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85297-0087
Mailing Address - Country:US
Mailing Address - Phone:480-494-2465
Mailing Address - Fax:480-534-4087
Practice Address - Street 1:777 N RAINBOW BLVD STE 350
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89107-1188
Practice Address - Country:US
Practice Address - Phone:480-494-2465
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-08
Last Update Date:2024-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty