Provider Demographics
NPI:1346082542
Name:BUDHATHOKI, RANJAN (HOME HEALTH)
Entity type:Individual
Prefix:
First Name:RANJAN
Middle Name:
Last Name:BUDHATHOKI
Suffix:
Gender:M
Credentials:HOME HEALTH
Other - Prefix:
Other - First Name:RANJAN
Other - Middle Name:
Other - Last Name:BUDHATHOKI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:SHANGRILA GROUP LLC
Mailing Address - Street 1:139 BROOKVIEW DR
Mailing Address - Street 2:
Mailing Address - City:HOOKSETT
Mailing Address - State:NH
Mailing Address - Zip Code:03106-2036
Mailing Address - Country:US
Mailing Address - Phone:617-319-9541
Mailing Address - Fax:
Practice Address - Street 1:139 BROOKVIEW DR
Practice Address - Street 2:
Practice Address - City:HOOKSETT
Practice Address - State:NH
Practice Address - Zip Code:03106-2036
Practice Address - Country:US
Practice Address - Phone:617-319-9541
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-10
Last Update Date:2024-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health