Provider Demographics
NPI:1952714370
Name:NARAYANAN NEUROSURGERY SERVICES
Entity Type:Organization
Organization Name:NARAYANAN NEUROSURGERY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORGANIZER, NEUROSURGEON
Authorized Official - Prefix:DR
Authorized Official - First Name:MALINI
Authorized Official - Middle Name:VISALAM
Authorized Official - Last Name:NARAYANAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:240-670-0612
Mailing Address - Street 1:4501 PINETREE RD
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20853-1311
Mailing Address - Country:US
Mailing Address - Phone:240-813-0667
Mailing Address - Fax:
Practice Address - Street 1:4501 PINETREE AVE
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20853
Practice Address - Country:US
Practice Address - Phone:240-813-0667
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-03
Last Update Date:2014-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD72001207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Single Specialty