Individual
NAGRAJ NARASIMHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
350 N HAVEN DR, TWIN FALLS, ID 83301-5788
(208) 904-4780
(208) 904-4832
Mailing address
PO BOX 268934, OKLAHOMA CITY, OK 73126-8934
(208) 904-4780
(208) 904-4832
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
M5063
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001835200
—
ID
01
—
P00431118
RR MEDICARE
ID
Enumeration date
06/26/2006
Last updated
04/08/2021
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