Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | A119482 | CA |
Y | 208D00000X | General Practice Physician | A119482 | CA |
NPI | 1013221845 |
---|---|
Provider Name | Dr. Anand Narayan |
First Address | Dinuba, CA 93618-1853 |
Second Address | Dinuba, CA 93618-1631 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/08/2010 |
Last Update Date | 14/06/2014 |