Organization · NPI-2

Advaita Health Ventures LLC

Clinic/Center · Raleigh, NC

NPI number1497413009
StatusActive
Last updated in NPPESAug 5, 2026

Details

NPI
1497413009
Entity type
Organization (NPI-2)
Legal business name
Advaita Health Ventures LLC
Organization subpart
No
Enumeration date
Dec 1, 2021
Certification date
Aug 5, 2026
Last updated
Aug 5, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center––Yes

Practice location

6124 Saint Giles St
Raleigh, NC 27612-7042

Phone 828-228-6148 · Fax 984-204-8076

Mailing address

4904 Professional Ct
Raleigh, NC 27609-4969

Phone 828-228-6148 · Fax 800-860-8126

Other practice locations

4904 Professional Ct
Raleigh, NC 27609-4969

Phone 828-228-6148 · Fax 800-860-8126

6112 Saint Giles St
Raleigh, NC 27612-7042

Phone 919-893-4465 · Fax 800-860-8126

Authorized official

J Eulan Johnson
Ceo
8282286148

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