Mohan Narayanan, M.D., P.A.

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME27048 Issued in FL

Practice address

810 N Mills Ave
Arcadia, FL 34266-8780

Phone

(863) 494-5909

Fax

(863) 494-0539

NPI assigned

Jun 28, 2005

Reactivated

Mar 24, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Physician Assistant

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284076800000",
    "number": "1861499469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 548",
            "city": "ARCADIA",
            "state": "FL",
            "postal_code": "342650548",
            "telephone_number": "863-494-5909",
            "fax_number": "863-494-0539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 N MILLS AVE",
            "city": "ARCADIA",
            "state": "FL",
            "postal_code": "342668780",
            "telephone_number": "863-494-5909",
            "fax_number": "863-494-0539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NARAYANAN",
        "first_name": "MOHAN",
        "credential": "M.D., P.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-28",
        "last_updated": "2010-09-10",
        "deactivation_date": "2006-03-17",
        "reactivation_date": "2006-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME27048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "057934300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "78901",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "407111115",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas A. Morris, DMD
• Mary Teresa Moshure, M.A. CCC-SLP
• King David Mungin Sr., ARNP
• Clara Mae Muniz
• N V Vaidya Nathan
• Vaidy V Nathan, M.D.
• Terence F Navin, MD,MPH,DABPMR,CWS-P
• New Vision Therapeutic Support Services LLC
• Norma I Nieves, RPH
• Nova Path ABA LLC

• Specialist in Arcadia, FL
• Providers in Arcadia, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2010; 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.