Organization Active NPI

Naroda Medical LLC

  • Nephrology Physician
  • Hazard, KY
National Provider Identifier
1083708341
Registry record updated Mar 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
NARODA MEDICAL LLC
Practice address
755 Morton Blvd
Hazard, KY 41701-9469
Phone
(606) 436-5763
Fax
(606) 436-0601
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2008

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

Authorized official

Name
Dr. Jyotin V. Chandarana, M.D.NPI 1487825139
Title
Physician
Phone
(606) 436-5763

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RN0300X Primary

Addresses

Primary practice location

755 Morton Blvd
Hazard, KY 41701-9469

Mailing address

PO Box 1071
Hazard, KY 41702-1071
Phone (606) 487-8059

Other identifiers 1

IdentifierTypeStateIssuer
65945545MedicaidKY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205798400000",
    "number": "1083708341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1071",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417021071",
            "telephone_number": "606-487-8059",
            "fax_number": "606-487-1658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 MORTON BLVD",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417019469",
            "telephone_number": "606-436-5763",
            "fax_number": "606-436-0601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NARODA MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2008-03-18",
        "status": "A",
        "authorized_official_last_name": "CHANDARANA",
        "authorized_official_first_name": "JYOTIN",
        "authorized_official_middle_name": "V.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "606-436-5763",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65945545",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazard, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.