Healthcare Provider Details

I. General information

NPI: 1992998405
Provider Name (Legal Business Name): SARA ELIZABETH NARAYAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/20/2007
Last Update Date: 03/17/2022
Certification Date: 03/17/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

68 TADMUCK RD STE 3
WESTFORD MA
01886-3136
US

IV. Provider business mailing address

68 TADMUCK RD STE 3
WESTFORD MA
01886-3136
US

V. Phone/Fax

Practice location:
  • Phone: 978-619-5447
  • Fax: 978-692-8800
Mailing address:
  • Phone: 978-619-5447
  • Fax: 978-692-8800

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number247005
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number247005
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: