Provider Demographics
NPI:1821099185
Name:NARAYEN, GEETANJALI (MD)
Entity Type:Individual
Prefix:MRS
First Name:GEETANJALI
Middle Name:
Last Name:NARAYEN
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 1:4000 ANNAPOLIS RD
Mailing Address - Street 2:SUITE 203
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21227-3600
Mailing Address - Country:US
Mailing Address - Phone:410-636-4242
Mailing Address - Fax:410-636-4266
Practice Address - Street 1:4000 ANNAPOLIS RD
Practice Address - Street 2:SUITE 203
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21227-3600
Practice Address - Country:US
Practice Address - Phone:410-636-4242
Practice Address - Fax:410-636-4266
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-09
Last Update Date:2009-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0030800208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD370361400Medicaid