Provider Demographics
NPI:1083635494
Name:NARAYAN, PERINCHERY (MD)
Entity Type:Individual
Prefix:DR
First Name:PERINCHERY
Middle Name:
Last Name:NARAYAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3426 NW 43RD ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32606-8105
Mailing Address - Country:US
Mailing Address - Phone:352-338-2089
Mailing Address - Fax:352-338-1415
Practice Address - Street 1:3426 NW 43RD ST
Practice Address - Street 2:SUITE B
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32606-8105
Practice Address - Country:US
Practice Address - Phone:352-338-2089
Practice Address - Fax:352-338-1415
Is Sole Proprietor?:No
Enumeration Date:2006-07-21
Last Update Date:2020-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 76357208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLA29570Medicare UPIN
FLK2136Medicare ID - Type Unspecified