PRAYUK A. WARAN MD NPI 1992819957

NPI Information

NPI: 1992819957
Provider Name: PRAYUK A. WARAN, MD
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
999 N STONE ST STE B
DELAND, FL
ZIP 32720
Phone: (386) 740-4017
Get Directions

Prayuk A. Waran, MD is an obstetrics gynecology in Deland, FL with 35 years of experience. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. Prayuk A. Waran, MD NPI is 1992819957. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: INDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1989

The provider's business location address is:

999 N STONE ST STE B
DELAND, FL
ZIP 32720-800
Phone: (386) 740-4017
Fax: (386) 740-4017

The NPI 1992819957 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/18/2006 and was last updated on 12/20/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	207V00000X	Obstetrics & Gynecology	01041051A	WISCONSIN	No
2	207V00000X	Obstetrics & Gynecology	G130667	CALIFORNIA	No
3	207V00000X	Obstetrics & Gynecology	ME155251	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000000080492	OTHER	INDIANA	ANTHEM
2	100385540	MEDICAID	INDIANA
3	000000721936	OTHER	INDIANA	ANTHEM TRADITIONAL

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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