PUTNAM IMAGING CENTER LLC NPI 1952772089

NPI Information

  • NPI: 1952772089
  • Provider Name: PUTNAM IMAGING CENTER, LLC
  • Classification: Urology - 208800000X
  • Entity Type: Organization
  • Address: 6300 ST. JOHNS AVE.
    PALATKA, FL
    ZIP 32177
  • Phone: (386) 202-4006

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NPI Details

PUTNAM IMAGING CENTER, LLC is an urology in Palatka, FL. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. PUTNAM IMAGING CENTER, LLC NPI is 1952772089. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6300 ST. JOHNS AVE.
PALATKA, FL
ZIP 32177-884
Phone: (386) 202-4006
Fax: (386) 385-5699

The provider's authorized official is Perinchery Narayan .
The authorized official title is President and has the following contact phone number (352) 338-2089.

The enumeration date for this NPI number is 10/15/2015 and was last updated on 11/20/2015.

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 Taxonomy Specialization License Number License State Primary
1207P00000XEmergency MedicineME54477FLORIDANo
2207R00000XInternal MedicineME64833FLORIDANo
3207RG0100XInternal MedicineGastroenterologyME81873FLORIDANo
4207RP1001XInternal MedicinePulmonary DiseaseME54534FLORIDANo
5213ES0103XPodiatristFoot & Ankle SurgeryPO2829FLORIDANo
6213ES0103XPodiatristFoot & Ankle SurgeryPO2712FLORIDANo
7213ES0103XPodiatristFoot & Ankle SurgeryPO2627FLORIDANo
8208800000XUrologyME76357FLORIDAYes

What is NPI?

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This page was last updated on: 11/21/2025

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