Provider Demographics
NPI:1821008590
Name:NARAYAN, MANJULA (MD)
Entity Type:Individual
Prefix:MRS
First Name:MANJULA
Middle Name:
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:PO BOX 288
Mailing Address - Street 2:
Mailing Address - City:BARBOURSVILLE
Mailing Address - State:NV
Mailing Address - Zip Code:25504
Mailing Address - Country:US
Mailing Address - Phone:304-525-6440
Mailing Address - Fax:304-525-1099
Practice Address - Street 1:2828 1ST AVE
Practice Address - Street 2:SUITE 500
Practice Address - City:HUNTINGTON
Practice Address - State:WV
Practice Address - Zip Code:25702
Practice Address - Country:US
Practice Address - Phone:304-525-6440
Practice Address - Fax:304-525-1099
Is Sole Proprietor?:No
Enumeration Date:2006-08-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV12321208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation