Provider Demographics
NPI:1669052064
Name:TEVA ACUPUNCTURE, PLLC
Entity type:Organization
Organization Name:TEVA ACUPUNCTURE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MALIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:BUDHRAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-379-6414
Mailing Address - Street 1:252 SUNNY ISLES BLVD STE 101
Mailing Address - Street 2:
Mailing Address - City:SUNNY ISLES BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33160-4677
Mailing Address - Country:US
Mailing Address - Phone:786-622-1771
Mailing Address - Fax:
Practice Address - Street 1:252 SUNNY ISLES BLVD, SUITE 101
Practice Address - Street 2:
Practice Address - City:SUNNY ISLES BEACH
Practice Address - State:FL
Practice Address - Zip Code:33160
Practice Address - Country:US
Practice Address - Phone:786-622-1771
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-09
Last Update Date:2024-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty