Individual
PRASANTH GANESAN NARAHARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MBBS
Contact information
Practice address
US HWY 491 NORTH, SHIPROCK, NM 87420
(505) 368-6001
(505) 368-7011
Mailing address
PO BOX 160, SHIPROCK, NM 87420-0160
(505) 368-6001
(505) 368-7011
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME157259
FL
Other
Enumeration date
03/19/2019
Last updated
08/09/2022
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