Provider Demographics
NPI:1184626095
Name:NARAYAN, ASHOK (MD)
Entity type:Individual
Prefix:
First Name:ASHOK
Middle Name:
Last Name:NARAYAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1243 E JEANINE DR
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85284-3373
Mailing Address - Country:US
Mailing Address - Phone:480-862-2366
Mailing Address - Fax:877-526-7333
Practice Address - Street 1:1520 S DOBSON RD STE 206
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85202-4753
Practice Address - Country:US
Practice Address - Phone:480-412-8080
Practice Address - Fax:480-412-8081
Is Sole Proprietor?:No
Enumeration Date:2005-08-10
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ30177174400000X, 2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ691883Medicaid
AZ1Z0888OtherHEALTHNNET ID
AZ431113OtherWELLCARE
AZ7550417OtherAETNA
AZAZ0713850OtherBCBS PROVIDER ID
AZ130025595Medicare ID - Type UnspecifiedRAILROAD MEDICARE
AZ1Z0888OtherHEALTHNNET ID
AZ431113OtherWELLCARE