Provider Demographics
NPI:1689636680
Name:NARUNS, PETER LAIMONS (MD)
Entity Type:Individual
Prefix:
First Name:PETER
Middle Name:LAIMONS
Last Name:NARUNS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2204 GRANT ROAD
Mailing Address - Street 2:SUITE 203
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:CA
Mailing Address - Zip Code:94040-3877
Mailing Address - Country:US
Mailing Address - Phone:650-964-0600
Mailing Address - Fax:650-964-0991
Practice Address - Street 1:2204 GRANT ROAD
Practice Address - Street 2:SUITE 203
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:CA
Practice Address - Zip Code:94040-3877
Practice Address - Country:US
Practice Address - Phone:650-964-0600
Practice Address - Fax:650-964-0991
Is Sole Proprietor?:No
Enumeration Date:2006-04-05
Last Update Date:2011-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG50961208600000X, 2086X0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G509610Medicaid
CA00G509610Medicaid
CA00G509611Medicare PIN