Provider Demographics
NPI:1841516093
Name:NARAYAN, SHOBA (MD)
Entity type:Individual
Prefix:DR
First Name:SHOBA
Middle Name:
Last Name:NARAYAN
Suffix:
Gender:F
Credentials:MD
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Other - Last Name:
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Mailing Address - Street 1:455 S MAIN ST
Mailing Address - Street 2:CHOC PEDIATRIC NEPHROLOGY
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92868-3835
Mailing Address - Country:US
Mailing Address - Phone:714-532-8324
Mailing Address - Fax:714-289-4169
Practice Address - Street 1:455 S MAIN ST
Practice Address - Street 2:CHOC PEDIATRIC NEPHROLOGY
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868-3835
Practice Address - Country:US
Practice Address - Phone:714-532-8324
Practice Address - Fax:714-289-4169
Is Sole Proprietor?:No
Enumeration Date:2010-04-13
Last Update Date:2010-07-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA938282080P0210X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0210XAllopathic & Osteopathic PhysiciansPediatricsPediatric Nephrology