Provider Demographics
NPI:1568953644
Name:NARVEKAR, SACHIN AMOL (DC)
Entity Type:Individual
Prefix:
First Name:SACHIN
Middle Name:AMOL
Last Name:NARVEKAR
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:447 W ATEN RD STE E
Mailing Address - Street 2:
Mailing Address - City:IMPERIAL
Mailing Address - State:CA
Mailing Address - Zip Code:92251-9713
Mailing Address - Country:US
Mailing Address - Phone:425-773-2567
Mailing Address - Fax:
Practice Address - Street 1:447 W ATEN RD STE E
Practice Address - Street 2:
Practice Address - City:IMPERIAL
Practice Address - State:CA
Practice Address - Zip Code:92251-9713
Practice Address - Country:US
Practice Address - Phone:760-592-4194
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-23
Last Update Date:2020-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC33156111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor