Provider Demographics
NPI:1871965483
Name:NATHAN NARASIMHAN MD
Entity type:Organization
Organization Name:NATHAN NARASIMHAN MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PLASTIC SURGEON
Authorized Official - Prefix:DR
Authorized Official - First Name:NATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:N
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:978-369-4499
Mailing Address - Street 1:131 ORNAC
Mailing Address - Street 2:JOHN CUMING BUILDING STE 700
Mailing Address - City:CONCORD
Mailing Address - State:MA
Mailing Address - Zip Code:01742-4181
Mailing Address - Country:US
Mailing Address - Phone:978-369-4499
Mailing Address - Fax:866-743-7213
Practice Address - Street 1:131 ORNAC
Practice Address - Street 2:JOHN CUMING BUILDING STE 700
Practice Address - City:CONCORD
Practice Address - State:MA
Practice Address - Zip Code:01742-4181
Practice Address - Country:US
Practice Address - Phone:978-369-4499
Practice Address - Fax:866-743-7213
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-22
Last Update Date:2015-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2481462086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive SurgeryGroup - Single Specialty