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Individual

DR. INDRANANDA ISHAYA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MS DC

Contact information

Practice address
701 W BROAD ST, SUITE #211 2ND FLOOR, BETHLEHEM, PA 18018-5248
(484) 893-0866
Mailing address
1834 7TH ST, BETHLEHEM, PA 18020-5708
(828) 206-5758

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC011436
PA
111NR0400X
Rehabilitation Chiropractor
AJ011365
PA

Other

Enumeration date
11/10/2022
Last updated
11/10/2022
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