Individual
NARENDIR T SOORYA
Active
Individual
NARENDIR T SOORYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
33916
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
278079
VALUE OPTIONS
—
01
—
404079360054
AETNA
—
01
—
4212065868001
ANTHEM BLUE CROSS
—
01
—
6902
BLUE CROSS
—
01
—
826261058
RAILROAD MEDICARE
—
01
—
A10898
MERCY HMO
—
Enumeration date
07/25/2006
Last updated
10/04/2012
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