Healthcare Provider Details

I. General information

NPI: 1700027174
Provider Name (Legal Business Name): AURINDOM NARAYAN MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/16/2009
Last Update Date: 04/17/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4820 5TH AVE N
ST PETERSBURG FL
33713-7218
US

IV. Provider business mailing address

4820 5TH AVE N
SAINT PETERSBURG FL
33713-7218
US

V. Phone/Fax

Practice location:
  • Phone: 727-321-6768
  • Fax: 727-327-8741
Mailing address:
  • Phone: 727-321-6768
  • Fax: 727-327-8741

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME0071057
License Number StateFL

VIII. Authorized Official

Name: DR. AURINDOM NARAYAN
Title or Position: OWNER/PRESIDENT
Credential: MD
Phone: 727-321-6768