Provider Demographics
NPI:1518433358
Name:INTERNATIONAL VEDIC INSTITUTE LLC
Entity Type:Organization
Organization Name:INTERNATIONAL VEDIC INSTITUTE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/MANAGED MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:SWAMI
Authorized Official - Middle Name:SADASHIVA
Authorized Official - Last Name:TIRTHA
Authorized Official - Suffix:
Authorized Official - Credentials:DSC RESEARCH
Authorized Official - Phone:607-873-2070
Mailing Address - Street 1:132 WILBUR HILL RD
Mailing Address - Street 2:
Mailing Address - City:UNADILLA
Mailing Address - State:NY
Mailing Address - Zip Code:13849-1213
Mailing Address - Country:US
Mailing Address - Phone:607-873-2070
Mailing Address - Fax:
Practice Address - Street 1:5 MECHANIC ST
Practice Address - Street 2:
Practice Address - City:NORWICH
Practice Address - State:NY
Practice Address - Zip Code:13815
Practice Address - Country:US
Practice Address - Phone:607-873-2070
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-19
Last Update Date:2018-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174H00000XOther Service ProvidersHealth EducatorGroup - Multi-Specialty