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NPI Code Detail

MEDICARE: RADHIKA NARAYAN

MEDICARE: RADHIKA NARAYAN
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
11223G0001XGeneral Practice Dentistry33341TX

General Provider Information

NPI Number : 1437673068
Entity Type Code : Individual
Provider Name (Legal Business Name) : RADHIKA NARAYAN
Provider Business Mailing Address
First Line : 5504 SUNDALE DR
Second Line :
City : FLOWER MOUND
State : TX
Zip : 75028-0104
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1511 S COOPER ST
Second Line :
City : ARLINGTON
State : TX
Zip : 76010-4105
Country : US
Telephone Number : 817-226-4242
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2017
Last Update Date : 07/26/2017

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Directions to “ RADHIKA NARAYAN ” Practice Location

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