Organization
SHAKTI NARAIN MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BINDOO NARAIN (OFFICE MANAGER)
(352) 365-2550
Entity
Organization
Contact information
Practice address
1070 FLAGLER AVE, LEESBURG, FL 34748-7633
(352) 365-2550
(352) 365-1950
Mailing address
1070 FLAGLER AVE, LEESBURG, FL 34748-7633
(352) 365-2550
(352) 365-1950
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME56590
FL
207RP1001X
Pulmonary Disease Physician
Primary
ME56590
FL
207RS0012X
Sleep Medicine (Internal Medicine) Physician
ME56590
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
061991400
—
FL
Enumeration date
02/09/2010
Last updated
04/04/2012
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