Healthcare Provider Details

I. General information

NPI: 1821099185
Provider Name (Legal Business Name): GEETANJALI NARAYEN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/09/2005
Last Update Date: 02/11/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4000 ANNAPOLIS RD SUITE 203
BALTIMORE MD
21227-3600
US

IV. Provider business mailing address

4000 ANNAPOLIS RD SUITE 203
BALTIMORE MD
21227-3600
US

V. Phone/Fax

Practice location:
  • Phone: 410-636-4242
  • Fax: 410-636-4266
Mailing address:
  • Phone: 410-636-4242
  • Fax: 410-636-4266

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberD0030800
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: