Provider Demographics
NPI:1124133202
Name:KHALSA, ARJAN KAUR (DC)
Entity type:Individual
Prefix:DR
First Name:ARJAN
Middle Name:KAUR
Last Name:KHALSA
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3610 CALLE DEL SOL NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87110-6112
Mailing Address - Country:US
Mailing Address - Phone:505-819-3626
Mailing Address - Fax:
Practice Address - Street 1:6020 CONSTITUTION AVE NE STE 1
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87110-5931
Practice Address - Country:US
Practice Address - Phone:505-819-3626
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-20
Last Update Date:2023-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM1476111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor