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Individual

VIKRAM MADHAVAN NARAYAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1365 CLIFTON RD NE STE 1400, ATLANTA, GA 30322-1013
(404) 778-4898
Mailing address
1365 CLIFTON RD NE STE 1400, ATLANTA, GA 30322-1013
(404) 778-4898

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
85816
GA
208800000X
Urology Physician
R4291
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
396377901
TX
01
396377902
CSHCN MEDICAID
TX
Enumeration date
04/15/2013
Last updated
07/13/2020
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