Provider Demographics
NPI:1093155970
Name:NARAYAN, PREETI (MD)
Entity type:Individual
Prefix:DR
First Name:PREETI
Middle Name:
Last Name:NARAYAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:780 CANTON RD NE STE 330
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30060-7289
Mailing Address - Country:US
Mailing Address - Phone:678-325-1224
Mailing Address - Fax:678-379-4742
Practice Address - Street 1:780 CANTON RD NE STE 330
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30060-7289
Practice Address - Country:US
Practice Address - Phone:678-325-1224
Practice Address - Fax:678-379-4742
Is Sole Proprietor?:No
Enumeration Date:2013-06-25
Last Update Date:2025-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA73214207L00000X, 208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA003170301FMedicaid
GA003170301FMedicaid