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NARAYANAN PEDIATRIC CLINIC NPI 1043244163


NPI Information

NPI: 1043244163
Provider Name: NARAYANAN PEDIATRIC CLINIC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 25D0969542

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

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/CenterYes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.