Provider Demographics
NPI:1487680328
Name:NARAIN, KESHAV (MD)
Entity Type:Individual
Prefix:DR
First Name:KESHAV
Middle Name:
Last Name:NARAIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:455 OCONNOR DR STE 310
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95128-1644
Mailing Address - Country:US
Mailing Address - Phone:408-294-3534
Mailing Address - Fax:408-294-3214
Practice Address - Street 1:455 OCONNOR DR
Practice Address - Street 2:STE 310
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95128
Practice Address - Country:US
Practice Address - Phone:408-294-3534
Practice Address - Fax:408-294-3214
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2018-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG831730207WX0107X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG54419Medicare UPIN
CA00G831730Medicare ID - Type Unspecified