Provider Demographics
NPI:1205849817
Name:KARNAVY, NOPAVAL K (MD)
Entity Type:Individual
Prefix:MRS
First Name:NOPAVAL
Middle Name:K
Last Name:KARNAVY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4950 SAN BERNARDINO ST
Mailing Address - Street 2:STE 216
Mailing Address - City:MONTCLAIR
Mailing Address - State:CA
Mailing Address - Zip Code:91763-2328
Mailing Address - Country:US
Mailing Address - Phone:909-399-5944
Mailing Address - Fax:909-399-5669
Practice Address - Street 1:4950 SAN BERNARDINO ST
Practice Address - Street 2:STE 216
Practice Address - City:MONTCLAIR
Practice Address - State:CA
Practice Address - Zip Code:91763-2328
Practice Address - Country:US
Practice Address - Phone:909-399-5944
Practice Address - Fax:909-399-5669
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA34413208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA0A344130Medicaid
CA4147816Medicaid
CA4147816Medicaid