Provider Demographics
NPI:1306595269
Name:MYHEALTHMANAGER, L. L. C.
Entity type:Organization
Organization Name:MYHEALTHMANAGER, L. L. C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DIVYA
Authorized Official - Middle Name:
Authorized Official - Last Name:KUDAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-423-2161
Mailing Address - Street 1:651 N BROAD ST STE 205
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:DE
Mailing Address - Zip Code:19709-6402
Mailing Address - Country:US
Mailing Address - Phone:210-423-2161
Mailing Address - Fax:
Practice Address - Street 1:651 N BROAD ST STE 205
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:DE
Practice Address - Zip Code:19709-6402
Practice Address - Country:US
Practice Address - Phone:210-423-2161
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-19
Last Update Date:2022-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomyGroup - Multi-Specialty
No291U00000XLaboratoriesClinical Medical Laboratory