Doctor Name: | MOHAN NARAYANAN |
NPI Number: | 1861499469 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D., P.A. |
License Number: | ME27048 |
Business Practice Address: | 810 N Mills Ave Arcadia, FL - 342668780 |
Business Phone Number: | 8634945909 |
Business Fax Number: | 8634940539 |
Mailing Address: | Po Box 548, ARCADIA |
State: | FL |
Postal Code: | 342650548 |
Phone Number: | 8634945909 |
Fax Number: | 8634940539 |
NPI Enumeration Date: | 06/28/2005 |
NPI Last Update Date: | 09/10/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | 03/17/2006 |
NPI Reactivation Date: | 03/24/2006 |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | ME27048 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |