Provider Demographics
NPI:1225565229
Name:NARAYANAN, SRINIVASAN V (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:SRINIVASAN
Middle Name:V
Last Name:NARAYANAN
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
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Mailing Address - Street 1:1885 EL PASEO ST APT 1042
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-3049
Mailing Address - Country:US
Mailing Address - Phone:703-915-0094
Mailing Address - Fax:
Practice Address - Street 1:4201 W MEDICAL CENTER DR
Practice Address - Street 2:
Practice Address - City:MCHENRY
Practice Address - State:IL
Practice Address - Zip Code:60050-8409
Practice Address - Country:US
Practice Address - Phone:815-334-5566
Practice Address - Fax:815-334-5566
Is Sole Proprietor?:No
Enumeration Date:2017-05-22
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0361606472085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology