Provider Demographics
NPI:1104850734
Name:GROVER, NARIEN K (MD)
Entity Type:Individual
Prefix:DR
First Name:NARIEN
Middle Name:K
Last Name:GROVER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1605 N CEDAR CREST BLVD STE 110B
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18104-2351
Mailing Address - Country:US
Mailing Address - Phone:610-973-1410
Mailing Address - Fax:610-973-6144
Practice Address - Street 1:1401 FAIRMONT ST
Practice Address - Street 2:
Practice Address - City:WHITEHALL
Practice Address - State:PA
Practice Address - Zip Code:18052-6051
Practice Address - Country:US
Practice Address - Phone:610-432-4122
Practice Address - Fax:610-432-6677
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-10
Last Update Date:2021-04-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMA039072L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA7990657Medicaid
PA7990657Medicaid
PA080156Medicare PIN