Provider Demographics
NPI:1790873859
Name:NARASIMHAN, KULUMANI M (MD)
Entity Type:Individual
Prefix:DR
First Name:KULUMANI
Middle Name:M
Last Name:NARASIMHAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:2960 MACK ROAD
Mailing Address - Street 2:#102
Mailing Address - City:FAIRFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:45014
Mailing Address - Country:US
Mailing Address - Phone:513-860-2999
Mailing Address - Fax:513-860-2890
Practice Address - Street 1:2960 MACK ROAD
Practice Address - Street 2:#102
Practice Address - City:FAIRFIELD
Practice Address - State:OH
Practice Address - Zip Code:45014
Practice Address - Country:US
Practice Address - Phone:513-860-2999
Practice Address - Fax:513-860-2890
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-11
Last Update Date:2010-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-036889208600000X, 2086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0233714Medicaid
OH0233714Medicaid
D31961Medicare UPIN