Provider Demographics
NPI:1932211307
Name:NARULA, GEETA (MD)
Entity Type:Individual
Prefix:
First Name:GEETA
Middle Name:
Last Name:NARULA
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 1:901 STEWART AVENUE
Mailing Address - Street 2:SUITE 210
Mailing Address - City:GARDEN CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11530-4823
Mailing Address - Country:US
Mailing Address - Phone:516-745-0444
Mailing Address - Fax:516-745-0909
Practice Address - Street 1:901 STEWART AVENUE
Practice Address - Street 2:SUITE 210
Practice Address - City:GARDEN CITY
Practice Address - State:NY
Practice Address - Zip Code:11530-4823
Practice Address - Country:US
Practice Address - Phone:516-745-0444
Practice Address - Fax:516-745-0909
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2021-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY190947207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY77H851Medicare ID - Type Unspecified
F73553Medicare UPIN