Healthcare Provider Details

I. General information

NPI: 1922791656
Provider Name (Legal Business Name): DEEPIKA NARAYANAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/30/2023
Last Update Date: 07/17/2025
Certification Date: 07/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 HOSPITAL DR
COLUMBIA MO
65212-1501
US

IV. Provider business mailing address

1 HOSPITAL DR # MA111
COLUMBIA MO
65212-1000
US

V. Phone/Fax

Practice location:
  • Phone: 573-882-1767
  • Fax:
Mailing address:
  • Phone: 573-882-1767
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberV2796
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number2025025943
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: