Provider Demographics
NPI:1790394054
Name:YOGIKRUPA HEALTH LLC
Entity Type:Organization
Organization Name:YOGIKRUPA HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:MAYANK
Authorized Official - Middle Name:G
Authorized Official - Last Name:AMIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-584-6979
Mailing Address - Street 1:PO BOX 284
Mailing Address - Street 2:
Mailing Address - City:SCHWENKSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19473-0284
Mailing Address - Country:US
Mailing Address - Phone:610-584-6979
Mailing Address - Fax:267-436-0913
Practice Address - Street 1:4118 W SKIPPACK PIKE
Practice Address - Street 2:
Practice Address - City:SCHWENKSVILLE
Practice Address - State:PA
Practice Address - Zip Code:19473
Practice Address - Country:US
Practice Address - Phone:610-584-6979
Practice Address - Fax:267-436-0913
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-23
Last Update Date:2020-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA103572710Medicaid