Healthcare Provider Details

I. General information

NPI: 1871556571
Provider Name (Legal Business Name): NARA SIMHAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 04/11/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

849 INTERNATIONAL DR SUITE 275
LINTHICUM MD
21090-2229
US

IV. Provider business mailing address

805 STAFFORDSHIRE RD
COCKEYSVILLE MD
21030-2926
US

V. Phone/Fax

Practice location:
  • Phone: 410-691-1142
  • Fax: 410-684-3189
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberD0024392
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License NumberD0024392
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: