Provider Demographics
NPI:1780668046
Name:NARAYAN, NANDINI N (MD)
Entity Type:Individual
Prefix:DR
First Name:NANDINI
Middle Name:N
Last Name:NARAYAN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:P.O. BOX 11867
Mailing Address - Street 2:CORRECTIONAL HEALTH DIVISION
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93775-1867
Mailing Address - Country:US
Mailing Address - Phone:559-600-3229
Mailing Address - Fax:559-445-2772
Practice Address - Street 1:1225 M. STREET
Practice Address - Street 2:CORRECTIONAL HEALTH, 2ND FLOOR
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93721-1805
Practice Address - Country:US
Practice Address - Phone:559-442-2404
Practice Address - Fax:559-442-5277
Is Sole Proprietor?:No
Enumeration Date:2005-11-30
Last Update Date:2011-10-24
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Provider Licenses
StateLicense IDTaxonomies
SC21632208000000X, 2080P0208X
CAA50721208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No2080P0208XAllopathic & Osteopathic PhysiciansPediatricsPediatric Infectious Diseases
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC216322Medicaid
SC216322Medicaid