NARAYANAN PEDIATRIC CLINIC NPI 1043244163

NPI Details

NARAYANAN PEDIATRIC CLINIC is a clinic center in Southaven, MS. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). NARAYANAN PEDIATRIC CLINIC NPI is 1043244163. The provider is registered as an organization entity type.

The provider's business location address is:

3964 GOODMAN
STE 133
SOUTHAVEN, MS
ZIP 38672
Phone: (662) 895-9498
Fax: (662) 890-4547

The provider's authorized official is Cathy A Dodge .
The authorized official title is Lpn Office Supervisor and has the following contact phone number (662) 895-9498.

The CLIA number assigned to this NPI record is 25D0969542 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 7/11/2006 and was last updated on 8/22/2020.

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: