Healthcare Provider Details

I. General information

NPI: 1427123496
Provider Name (Legal Business Name): ANAND NARAYAN MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/22/2006
Last Update Date: 12/03/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

468 N VERMONT AVE
DINUBA CA
93618-1631
US

IV. Provider business mailing address

468 N VERMONT AVE
DINUBA CA
93618-1631
US

V. Phone/Fax

Practice location:
  • Phone: 559-591-6200
  • Fax: 559-591-2724
Mailing address:
  • Phone: 559-591-6200
  • Fax: 559-591-2724

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberA52697
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberA38401
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA40844
License Number StateCA
# 4
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License NumberA119482
License Number StateCA

VIII. Authorized Official

Name: DR. ANAND NARAYAN
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 559-591-6200