Healthcare Provider Details

I. General information

NPI: 1659538775
Provider Name (Legal Business Name): SATISH NARAYAN MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/16/2008
Last Update Date: 11/09/2022
Certification Date: 11/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7170 PRESTON RD STE 200
PLANO TX
75024-3382
US

IV. Provider business mailing address

PO BOX 261092
PLANO TX
75026-1092
US

V. Phone/Fax

Practice location:
  • Phone: 972-232-7474
  • Fax: 972-232-7401
Mailing address:
  • Phone: 972-232-7474
  • Fax: 972-232-7401

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2083A0300X
TaxonomyAddiction Medicine (Preventive Medicine) Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: TAWNEE LITTLE
Title or Position: CONTRACTING SUPERVISOR
Credential:
Phone: 972-842-8206