Provider Demographics
NPI:1588783971
Name:NARAYAN, SHANKAR N (MD)
Entity type:Individual
Prefix:
First Name:SHANKAR
Middle Name:N
Last Name:NARAYAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 MERRIAM DISTRICT
Mailing Address - Street 2:
Mailing Address - City:NORTH OXFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01537-1002
Mailing Address - Country:US
Mailing Address - Phone:508-987-1319
Mailing Address - Fax:
Practice Address - Street 1:4 MERRIAM DISTRICT
Practice Address - Street 2:
Practice Address - City:NORTH OXFORD
Practice Address - State:MA
Practice Address - Zip Code:01537-1002
Practice Address - Country:US
Practice Address - Phone:508-987-1319
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA38754207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine