Narayanan Pediatric Clinic

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

NARAYANAN PEDIATRIC CLINIC

Practice address

3964 Goodman
Ste 133
Southaven, MS 38672

Phone

(662) 895-9498

Fax

(662) 890-4547

NPI assigned

Jul 11, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Cathy A Dodge

Title

LPN Office Supervisor

Phone

(662) 895-9498

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Manoj Narayanan, MD

  • Pediatrics Physician
  • Southaven, MS
  • NPI 1285679068
  NPD (past)
• Rachana Vaghela, MD

  • Pediatrics Physician
  • Southaven, MS
  • NPI 1932133055
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043244163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 170 DEPT 150",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "38671",
            "telephone_number": "662-895-9498",
            "fax_number": "662-890-4547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3964 GOODMAN",
            "address_2": "STE 133",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "38672",
            "telephone_number": "662-895-9498",
            "fax_number": "662-890-4547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NARAYANAN PEDIATRIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DODGE",
        "authorized_official_first_name": "CATHY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "LPN OFFICE SUPERVISOR",
        "authorized_official_telephone_number": "662-895-9498",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• My Brother's Keeper Homecare Solutions, LLC
• Patrice Myles, CPT
• Deanna Nabors, MD
• Jennifer Nabors
• Vanessa Naidoo, OTRL
• Manoj Narayanan, MD
• Ali Bin Nasir
• Karishma Nathani, M.D.
• Natural Relief Medical
• Mqhele Vellah Ncube, MD

• Clinic/Center in Southaven, MS
• Providers in Southaven, MS by specialty
• Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.