Provider Demographics
NPI:1417114307
Name:NARIANI, SARUP GIRDHARI (MD,)
Entity Type:Individual
Prefix:MRS
First Name:SARUP
Middle Name:GIRDHARI
Last Name:NARIANI
Suffix:
Gender:F
Credentials:MD,
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Mailing Address - Street 1:777 SEAVIEW AVE
Mailing Address - Street 2:SUOUTH BEACH ADDICTION TREATMENT CENTER, BLDG.1,2ND FL
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10305-3409
Mailing Address - Country:US
Mailing Address - Phone:718-667-2805
Mailing Address - Fax:718-667-2773
Practice Address - Street 1:777 SEAVIEW AVE
Practice Address - Street 2:SUOUTH BEACH ADDICTION TREATMENT CENTER, BLDG.1,2ND FL
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10305-3409
Practice Address - Country:US
Practice Address - Phone:718-667-2805
Practice Address - Fax:718-667-2773
Is Sole Proprietor?:No
Enumeration Date:2008-05-19
Last Update Date:2008-05-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY149270207R00000X, 207RA0401X
NJ25MA03980800207RA0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RA0401XAllopathic & Osteopathic PhysiciansInternal MedicineAddiction Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine