Provider Demographics
NPI:1487161840
Name:NARASIMHAN PLASTIC SURGERY
Entity type:Organization
Organization Name:NARASIMHAN PLASTIC SURGERY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MARETH
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCLAIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-289-7119
Mailing Address - Street 1:900 CARILLON PKWY STE 409
Mailing Address - Street 2:
Mailing Address - City:SAINT PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33716-1121
Mailing Address - Country:US
Mailing Address - Phone:727-289-7119
Mailing Address - Fax:
Practice Address - Street 1:900 CARILLON PKWY STE 409
Practice Address - Street 2:
Practice Address - City:SAINT PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33716-1121
Practice Address - Country:US
Practice Address - Phone:727-289-7119
Practice Address - Fax:727-289-7160
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-08
Last Update Date:2019-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty