Healthcare Provider Details

I. General information

NPI: 1265813406
Provider Name (Legal Business Name): SUNIL MARK NARAYAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/13/2015
Last Update Date: 05/14/2025
Certification Date: 05/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8701 N MOPAC EXPY STE 100
AUSTIN TX
78759-8377
US

IV. Provider business mailing address

8240 N MOPAC EXPY STE 100
AUSTIN TX
78759-8869
US

V. Phone/Fax

Practice location:
  • Phone: 737-249-9122
  • Fax: 737-249-9122
Mailing address:
  • Phone: 512-687-1970
  • Fax: 512-407-9010

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License NumberV8155
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: