Provider Demographics
NPI:1558982421
Name:INSTITUTE FOR AYURVEDIC AND NATUROPATHIC THERAPIES
Entity Type:Organization
Organization Name:INSTITUTE FOR AYURVEDIC AND NATUROPATHIC THERAPIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINIC ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:SAGAR
Authorized Official - Middle Name:NIKHIL
Authorized Official - Last Name:KAUSHIK
Authorized Official - Suffix:
Authorized Official - Credentials:MPH
Authorized Official - Phone:203-331-9111
Mailing Address - Street 1:805 KINGS HWY E
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06825-5419
Mailing Address - Country:US
Mailing Address - Phone:203-331-9111
Mailing Address - Fax:203-331-9335
Practice Address - Street 1:805 KINGS HWY E
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:CT
Practice Address - Zip Code:06825-5419
Practice Address - Country:US
Practice Address - Phone:203-331-9111
Practice Address - Fax:203-331-9335
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-02
Last Update Date:2020-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Multi-Specialty
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, EducationGroup - Multi-Specialty
No174H00000XOther Service ProvidersHealth EducatorGroup - Multi-Specialty