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NPI Code Detail

MEDICARE: NARAYAN R. ROA, M.D. INC

MEDICARE: NARAYAN R. ROA, M.D. INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207LP2900XPain Medicine (Anesthesiology) PhysicianA33392CA
2208VP0000XPain Medicine PhysicianA33392CA
3208VP0014XInterventional Pain Medicine PhysicianA33392CA
4207L00000XAnesthesiology PhysicianA33392CA

General Provider Information

NPI Number : 1346335387
Entity Type Code : Organization
Provider Name (Legal Business Name) : NARAYAN R. ROA, M.D. INC
Provider Business Mailing Address
First Line : PO BOX 2866
Second Line :
City : TORRANCE
State : CA
Zip : 90509-2866
Country : US
Telephone Number : 310-792-0601
Fax Number : 310-792-9062
Provider Business Practice Location Address
First Line : 1246 W 155TH ST
Second Line :
City : GARDENA
State : CA
Zip : 90247-4011
Country : US
Telephone Number : 310-792-0601
Fax Number : 310-792-9062
Authorized Official
Title or Position : PRESIDENT
Name : NARAYAN R. RAO
Credential : M.D.
Telephone Number : 310-792-0601
Provider Enumeration Date : 10/04/2006
Last Update Date : 01/08/2008

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