MEDICARE: DR. PRIYAMVADA NARAYANAN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084F0202X	Forensic Psychiatry Physician	212107	NY
2	2084P0800X	Psychiatry Physician	212107	NY
3	2084P0800X	Psychiatry Physician	C55875	CA

General Provider Information

NPI Number	:	1346466067
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PRIYAMVADA NARAYANAN MD

Provider Business Mailing Address
First Line	:	600 ST PAUL AVE
Second Line	:	SUITE 200
City	:	LOS ANGELES
State	:	CA
Zip	:	90017-2038
Country	:	US
Telephone Number	:	213-482-6400
Fax Number	:

Provider Business Practice Location Address
First Line	:	600 ST PAUL AVE
Second Line	:	SUITE 200
City	:	LOS ANGELES
State	:	CA
Zip	:	90017-2038
Country	:	US
Telephone Number	:	213-482-6400
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/18/2007
Last Update Date	:	04/25/2016

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