Provider Demographics
NPI:1912643016
Name:HARI KRISHNA HEALTH LLC
Entity Type:Organization
Organization Name:HARI KRISHNA HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JITEN
Authorized Official - Middle Name:
Authorized Official - Last Name:DUNGARANI
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:602-666-6602
Mailing Address - Street 1:815 E WARNER RD STE 100
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85225-1057
Mailing Address - Country:US
Mailing Address - Phone:602-666-6602
Mailing Address - Fax:602-666-6167
Practice Address - Street 1:1807 E QUEEN CREEK RD STE 7
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85286-2023
Practice Address - Country:US
Practice Address - Phone:602-666-6602
Practice Address - Fax:602-666-6167
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-11
Last Update Date:2022-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty