Provider Demographics
NPI:1851152227
Name:KAYA RESILIENCE HEALTHCARE AND CONSULTING, PLLC
Entity Type:Organization
Organization Name:KAYA RESILIENCE HEALTHCARE AND CONSULTING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ATTENDING PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:KARTHIK
Authorized Official - Middle Name:
Authorized Official - Last Name:RAVINDRAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:908-230-4612
Mailing Address - Street 1:93 WAVERLY ST
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02476-7220
Mailing Address - Country:US
Mailing Address - Phone:908-230-4612
Mailing Address - Fax:
Practice Address - Street 1:463 WORCESTER RD STE 102A
Practice Address - Street 2:
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01701-5354
Practice Address - Country:US
Practice Address - Phone:908-230-4612
Practice Address - Fax:508-213-3581
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-22
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110097709AMedicaid