Provider Demographics
NPI:1427024116
Name:DASARI, NARAYANA L (MD)
Entity Type:Individual
Prefix:
First Name:NARAYANA
Middle Name:L
Last Name:DASARI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:20525 CENTER RIDGE ROAD
Mailing Address - Street 2:SUITE 220
Mailing Address - City:ROCKY RIVER
Mailing Address - State:OH
Mailing Address - Zip Code:44116
Mailing Address - Country:US
Mailing Address - Phone:440-895-5056
Mailing Address - Fax:440-333-2935
Practice Address - Street 1:25200 CENTER RIDGE ROAD
Practice Address - Street 2:# 2600
Practice Address - City:WESTLAKE
Practice Address - State:OH
Practice Address - Zip Code:44145
Practice Address - Country:US
Practice Address - Phone:440-333-3904
Practice Address - Fax:440-331-9531
Is Sole Proprietor?:No
Enumeration Date:2006-02-23
Last Update Date:2008-05-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH35 04 1228 D207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
000000198484OtherANTHEM
1780634279OtherGROUP NPI
OH4007139OtherAETNA
OHD368301OtherDIAGNOSTIC GROUP MEDICARE
0119204OtherGROUP MEDICAID
OH0404995Medicaid
OH9273172OtherGROUP MEDICARE
102297OtherKAISER
OH3610861OtherASC GROUP MEDICARE
F41228OtherSUMMACARE APEX
CA4511OtherRR MEDICARE GROUP
OH110177994OtherRAILROAD MEDICARE
341783789040OtherCARESOURCE
CA4511OtherRR MEDICARE GROUP
OH110177994OtherRAILROAD MEDICARE