Karthik Anandan

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Gallup, NM

NPI 1629781349 · NPPES record last updated Dec 27, 2022

Key facts

NPI
1629781349
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
Practice address
2915 W Historic Hwy 66 Howard Johnson Hotel
Gallup, NM 87301-8730
Phone
(505) 906-1033
NPI assigned
Dec 27, 2022
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Yes

Addresses

Primary practice location

2915 W Historic Hwy 66 Howard Johnson Hotel
Gallup, NM 87301-8730

Mailing address

1133 Boggio Dr
Gallup, NM 87301-4973
Phone (505) 906-1033

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address kanandan@novaiii.net Health Information Exchange (HIE)

Other providers in Gallup, NM

All providers in Gallup, NM · Addiction (Substance Use Disorder) Counselor in New Mexico

Sources for this page

Verify at the official NPI Registry.