Provider Demographics
NPI:1821306986
Name:MOHAN NARAYANAN, M.D.,P.A.
Entity Type:Organization
Organization Name:MOHAN NARAYANAN, M.D.,P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MOHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:NARAYANAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:863-494-5909
Mailing Address - Street 1:PO BOX 548
Mailing Address - Street 2:
Mailing Address - City:ARCADIA
Mailing Address - State:FL
Mailing Address - Zip Code:34265-0548
Mailing Address - Country:US
Mailing Address - Phone:863-494-5909
Mailing Address - Fax:863-494-0539
Practice Address - Street 1:810 N MILLS AVE
Practice Address - Street 2:
Practice Address - City:ARCADIA
Practice Address - State:FL
Practice Address - Zip Code:34266-8780
Practice Address - Country:US
Practice Address - Phone:863-494-5909
Practice Address - Fax:863-494-0539
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-22
Last Update Date:2010-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME27048207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLME27048OtherMEDICAL LICENSE