Provider Demographics
NPI:1912548314
Name:ARAYA HOLISTIC PAIN MANAGEMENT
Entity Type:Organization
Organization Name:ARAYA HOLISTIC PAIN MANAGEMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KHANITA
Authorized Official - Middle Name:
Authorized Official - Last Name:SUVARNASUDDHI
Authorized Official - Suffix:
Authorized Official - Credentials:DC, LAC
Authorized Official - Phone:240-654-2608
Mailing Address - Street 1:20302 SCENERY DR
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20876-6036
Mailing Address - Country:US
Mailing Address - Phone:240-654-2608
Mailing Address - Fax:
Practice Address - Street 1:23330 FREDERICK RD FL 2
Practice Address - Street 2:
Practice Address - City:CLARKSBURG
Practice Address - State:MD
Practice Address - Zip Code:20871-9704
Practice Address - Country:US
Practice Address - Phone:240-702-6413
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-07
Last Update Date:2019-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Multi-Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty