Healthcare Provider Details

I. General information

NPI: 1508276296
Provider Name (Legal Business Name): CHOCKALINGAM ARUN NARAYANAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/02/2014
Last Update Date: 08/22/2022
Certification Date: 08/22/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1005 HARBORSIDE DR 6TH FL
GALVESTON TX
77555-1501
US

IV. Provider business mailing address

PO BOX 650859 DEPT 710
DALLAS TX
75265-1501
US

V. Phone/Fax

Practice location:
  • Phone: 409-772-2328
  • Fax:
Mailing address:
  • Phone: 409-747-6240
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License Number47721
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: