Provider Demographics
NPI:1851437511
Name:NARAYANAN, PADUVILAN C (MD)
Entity Type:Individual
Prefix:DR
First Name:PADUVILAN
Middle Name:C
Last Name:NARAYANAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2800 S VENTURA RD
Mailing Address - Street 2:
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93033-4905
Mailing Address - Country:US
Mailing Address - Phone:805-984-0144
Mailing Address - Fax:805-487-7445
Practice Address - Street 1:2800 S VENTURA RD
Practice Address - Street 2:
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93033-4905
Practice Address - Country:US
Practice Address - Phone:805-984-0144
Practice Address - Fax:805-487-7445
Is Sole Proprietor?:No
Enumeration Date:2007-01-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA35200208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A352000Medicaid
CA00A352000Medicaid
CAA27710Medicare UPIN