Provider Demographics
NPI:1881777662
Name:NARAYAN, TINA MATHIAS (MD)
Entity type:Individual
Prefix:DR
First Name:TINA
Middle Name:MATHIAS
Last Name:NARAYAN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:3333 BURNET AVE
Mailing Address - Street 2:ML 5021
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45229-3039
Mailing Address - Country:US
Mailing Address - Phone:513-636-4225
Mailing Address - Fax:513-636-3391
Practice Address - Street 1:7495 STATE RD SUITE 355
Practice Address - Street 2:OUTPATIENT SERVICES ANDERSON ML 6003
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45255
Practice Address - Country:US
Practice Address - Phone:513-636-6100
Practice Address - Fax:513-636-6118
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2010-03-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH35.0814272084N0402X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0402XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology with Special Qualifications in Child Neurology