Basic Information
| Provider Information | |||||||||
| NPI: | 1639121353 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | NARAYANA | ||||||||
| FirstName: | ASHWATHA | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 77 LAFAYETTE PL | ||||||||
| Address2: | |||||||||
| City: | GREENWICH | ||||||||
| State: | CT | ||||||||
| PostalCode: | 068305426 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2038633773 | ||||||||
| FaxNumber: | 2938633723 | ||||||||
| Practice Location | |||||||||
| Address1: | 77 LAFAYETTE PL | ||||||||
| Address2: | |||||||||
| City: | GREENWICH | ||||||||
| State: | CT | ||||||||
| PostalCode: | 068305426 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2038633773 | ||||||||
| FaxNumber: | 2938633723 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/17/2006 | ||||||||
| LastUpdateDate: | 02/27/2013 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2085R0001X | 225503 | NY | Y | Allopathic & Osteopathic Physicians | Radiology | Radiation Oncology |
No ID Information.