Provider Demographics
NPI:1689628893
Name:NARAYANI, RAMACHANDRAN K (MD)
Entity Type:Individual
Prefix:
First Name:RAMACHANDRAN
Middle Name:K
Last Name:NARAYANI
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:PO BOX 769609
Mailing Address - Street 2:
Mailing Address - City:ROSWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30076-8224
Mailing Address - Country:US
Mailing Address - Phone:770-730-5800
Mailing Address - Fax:770-730-5803
Practice Address - Street 1:1861 PEELER RD
Practice Address - Street 2:STE. 100
Practice Address - City:DUNWOODY
Practice Address - State:GA
Practice Address - Zip Code:30338-5714
Practice Address - Country:US
Practice Address - Phone:770-730-5800
Practice Address - Fax:770-730-5803
Is Sole Proprietor?:No
Enumeration Date:2006-05-20
Last Update Date:2011-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA050822207R00000X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000937923CMedicaid
GA000937923EMedicaid
GA000937923DMedicaid
GA000937923DMedicaid
GA000937923CMedicaid