MEDICARE: DR. TAMARISA K NARAYAN M.D.

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	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	23723	IA
2	207RP1001X	Pulmonary Disease Physician	23723	IA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1851396709
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TAMARISA K NARAYAN M.D.

Provider Business Mailing Address
First Line	:	939 OFFICE PARK RD STE 308
Second Line	:
City	:	WEST DES MOINES
State	:	IA
Zip	:	50265-2538
Country	:	US
Telephone Number	:	515-280-1252
Fax Number	:	515-267-1183

Provider Business Practice Location Address
First Line	:	939 OFFICE PARK RD STE 308
Second Line	:
City	:	WEST DES MOINES
State	:	IA
Zip	:	50265-2538
Country	:	US
Telephone Number	:	515-280-1252
Fax Number	:	515-267-1183

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

Provider Enumeration Date	:	06/16/2005
Last Update Date	:	11/06/2007

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