Individual provider Active NPI

Vaduvur Srnivasan Narayan, M.D.,D.P.H.,M.S.

  • Specialist
  • Jacksonville, FL
National Provider Identifier
1356558068
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME 33900 Issued in FL
Practice address
6830 Madrid Ave
Jacksonville, FL 32217-2680
Phone
(904) 737-1674
Fax
(904) 739-3591
NPI assigned
May 16, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME 33900 FL Primary

Addresses

Primary practice location

6830 Madrid Ave
Jacksonville, FL 32217-2680

Mailing address

6830 Madrid Ave
Jacksonville, FL 32217-2680
Phone (904) 737-1674

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine, Master of Science

State licenses

LicenseStateTypeSpecialty
ME 33900FLMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356558068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6830 MADRID AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322172680",
            "telephone_number": "904-737-1674",
            "fax_number": "904-739-3591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6830 MADRID AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322172680",
            "telephone_number": "904-737-1674",
            "fax_number": "904-739-3591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NARAYAN",
        "first_name": "VADUVUR",
        "middle_name": "SRNIVASAN",
        "name_prefix": "Dr.",
        "credential": "M.D.,D.P.H.,M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME 33900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.