Healthcare Provider Details

I. General information

NPI: 1740109420
Provider Name (Legal Business Name): MAHESWARI NARAYANAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3511 INTERNATIONAL BLVD
OAKLAND CA
94601-3521
US

IV. Provider business mailing address

38660 LEXINGTON ST APT 427
FREMONT CA
94536-6252
US

V. Phone/Fax

Practice location:
  • Phone: 510-323-2289
  • Fax:
Mailing address:
  • Phone: 407-923-8326
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number113454
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: