Provider Demographics
NPI:1497798508
Name:NARAYAN, JANAKI L (MD)
Entity Type:Individual
Prefix:
First Name:JANAKI
Middle Name:L
Last Name:NARAYAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1314 S FORT HARRISON AVE
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33756-3357
Mailing Address - Country:US
Mailing Address - Phone:727-446-8121
Mailing Address - Fax:727-461-7946
Practice Address - Street 1:1314 S FORT HARRISON AVE
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33756-3357
Practice Address - Country:US
Practice Address - Phone:727-446-8121
Practice Address - Fax:727-461-7946
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL0025767207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLD66065Medicare UPIN
FL93345AMedicare ID - Type Unspecified