MEDICARE: DR. NARASANNA RAJAN MD FCCP

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
1	146D00000X	Personal Emergency Response Attendant	118518	NY

General Provider Information

NPI Number	:	1720237126
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NARASANNA RAJAN MD FCCP

Provider Business Mailing Address
First Line	:	76 HAMILL RD
Second Line	:	1540 SP VALLEY RD
City	:	HUNTINGTON
State	:	WV
Zip	:	25701-4755
Country	:	US
Telephone Number	:	304-429-6741
Fax Number	:

Provider Business Practice Location Address
First Line	:	76 HAMILL RD
Second Line	:	1540 SP VALLEY RD
City	:	HUNTINGTON
State	:	WV
Zip	:	25701-4755
Country	:	US
Telephone Number	:	304-429-6741
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/10/2008
Last Update Date	:	09/10/2008

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