Provider Demographics
NPI:1215432158
Name:NARAYANAN, SIDDHARTHA SRINIVASAN (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:SIDDHARTHA
Middle Name:SRINIVASAN
Last Name:NARAYANAN
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3230 EDEN AVENUE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45267-0564
Mailing Address - Country:US
Mailing Address - Phone:513-558-0558
Mailing Address - Fax:513-558-4858
Practice Address - Street 1:234 GOODMAN STREET
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45267-0002
Practice Address - Country:US
Practice Address - Phone:513-558-0558
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-23
Last Update Date:2022-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program