Healthcare Provider Details

I. General information

NPI: 1861413262
Provider Name (Legal Business Name): NARAYAN B MURTHY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2006
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

819 N 1ST ST
DENNISON OH
44621-1003
US

IV. Provider business mailing address

819 N 1ST ST
DENNISON OH
44621-1003
US

V. Phone/Fax

Practice location:
  • Phone: 740-922-7450
  • Fax: 740-922-7450
Mailing address:
  • Phone: 740-922-7450
  • Fax: 740-922-7450

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number35068211M
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: