Basic Information
Provider Information
NPI: 1508276296
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: NARAYANAN
FirstName: CHOCKALINGAM
MiddleName: ARUN
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 650859
Address2: DEPT 710
City: DALLAS
State: TX
PostalCode: 752651501
CountryCode: US
TelephoneNumber: 4097476240
FaxNumber:  
Practice Location
Address1: 1005 HARBORSIDE DR 6TH FL
Address2:  
City: GALVESTON
State: TX
PostalCode: 775551501
CountryCode: US
TelephoneNumber: 4097722328
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/02/2014
LastUpdateDate: 08/22/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/22/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RC0001X47721TXY Allopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology

No ID Information.


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