Provider Demographics
NPI:1982800892
Name:NARAYANASAMY, NARENDREN (MD)
Entity Type:Individual
Prefix:DR
First Name:NARENDREN
Middle Name:
Last Name:NARAYANASAMY
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:PO BOX 223187
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33022-3187
Mailing Address - Country:US
Mailing Address - Phone:888-209-4239
Mailing Address - Fax:855-490-4044
Practice Address - Street 1:2500 E HALLANDALE BEACH BLVD STE 211
Practice Address - Street 2:
Practice Address - City:HALLANDALE BEACH
Practice Address - State:FL
Practice Address - Zip Code:33009
Practice Address - Country:US
Practice Address - Phone:888-209-4239
Practice Address - Fax:855-490-4044
Is Sole Proprietor?:No
Enumeration Date:2007-06-26
Last Update Date:2021-08-25
Deactivation Date:2021-07-31
Deactivation Code:
Reactivation Date:2021-08-25
Provider Licenses
StateLicense IDTaxonomies
FLME121500208VP0014X
MO2012028529207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine