Provider Demographics
NPI:1720624117
Name:KESHAV SMRUTI LLC
Entity type:Organization
Organization Name:KESHAV SMRUTI LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KOMAL
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-269-1182
Mailing Address - Street 1:1011 SCRANTON CARBONDALE HWY UNIT 2
Mailing Address - Street 2:
Mailing Address - City:SCRANTON
Mailing Address - State:PA
Mailing Address - Zip Code:18508-1127
Mailing Address - Country:US
Mailing Address - Phone:215-269-1182
Mailing Address - Fax:
Practice Address - Street 1:1011 SCRANTON CARBONDALE HWY STE 2
Practice Address - Street 2:
Practice Address - City:SCRANTON
Practice Address - State:PA
Practice Address - Zip Code:18508-1127
Practice Address - Country:US
Practice Address - Phone:215-269-1182
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-21
Last Update Date:2021-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)