Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 244152 | MA |
N | 208600000X | Surgeon | 244152 | MA |
Y | 208200000X | Surgeon | 35.129282 | OH |
Y | 208600000X | Surgeon | 35.129282 | OH |
N | 2086S0102X | Surgical Critical Care | 036137737 | IL |
N | 2086S0102X | Surgical Critical Care | 35.129282 | OH |
NPI | 1205147030 |
---|---|
Provider Name | Ragavan Narayanan |
First Address | Kettering, OH 45429-1267 |
Second Address | Kettering, OH 45429-1264 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/06/2010 |
Last Update Date | 28/07/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0179049 | (05) | OH |