Provider Demographics
NPI:1366135980
Name:AURY HEALTH, INC
Entity type:Organization
Organization Name:AURY HEALTH, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-FOUNDER/NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:PUNAM
Authorized Official - Middle Name:
Authorized Official - Last Name:BHAKTA
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:619-252-1192
Mailing Address - Street 1:317 E KALER DR
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85020-4047
Mailing Address - Country:US
Mailing Address - Phone:619-252-1192
Mailing Address - Fax:
Practice Address - Street 1:15125 N SCOTTSDALE RD APT 557
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85254-3166
Practice Address - Country:US
Practice Address - Phone:505-604-8252
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-30
Last Update Date:2023-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty