Provider Demographics
NPI:1013762269
Name:PAKHRIN, MILAN
Entity Type:Individual
Prefix:
First Name:MILAN
Middle Name:
Last Name:PAKHRIN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 DOVE RD
Mailing Address - Street 2:
Mailing Address - City:HOOKSETT
Mailing Address - State:NH
Mailing Address - Zip Code:03106-1702
Mailing Address - Country:US
Mailing Address - Phone:603-289-4905
Mailing Address - Fax:
Practice Address - Street 1:3 DOVE RD
Practice Address - Street 2:
Practice Address - City:HOOKSETT
Practice Address - State:NH
Practice Address - Zip Code:03106-1702
Practice Address - Country:US
Practice Address - Phone:603-289-4905
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-22
Last Update Date:2024-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities