Individual
SHAKTI NARAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1070 FLAGLER AVENUE, LEESBURG, FL 34748
(352) 365-2550
(352) 365-1950
Mailing address
1070 FLAGLER AVENUE, LEESBURG, FL 34748
(352) 365-2550
(352) 365-1950
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
ME56590
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
061991400
—
FL
01
—
09549
BCBS
FL
Enumeration date
03/16/2006
Last updated
04/04/2012
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