MEDICARE: ROXSANA MARY NARANJO

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	174400000X	Specialist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1992436844
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROXSANA MARY NARANJO

Provider Business Mailing Address
First Line	:	1550 OLD HENDERSON RD STE N-271
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43220-3626
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1550 OLD HENDERSON RD STE 271
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43220-7606
Country	:	US
Telephone Number	:	614-456-7334
Fax Number	:

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

Provider Enumeration Date	:	06/21/2022
Last Update Date	:	07/06/2023

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Directions to “ ROXSANA MARY NARANJO ” Practice Location

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