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Individual

DR. SASHA NIRANJALI NARAYAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
1001 CLOQUET AVE, CLOQUET, MN 55720-1617
(773) 495-9669
Mailing address
1010 22ND ST, APT 301, CLOQUET, MN 55720-2876
(773) 495-9669

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2979
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
22-03363
MEDICA CLOQUET
MN
01
2203364
MEDICA VIRGINIA
MN
01
490P1NA
BCBS OF MN
MN
01
B25741047253
PREFERRED ONE
MN
01
MN2979
EYE MED
MN
Enumeration date
05/08/2006
Last updated
07/08/2007
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