Provider Demographics
NPI:1376596338
Name:NAREN, SARASWATHY B (DO)
Entity Type:Individual
Prefix:
First Name:SARASWATHY
Middle Name:B
Last Name:NAREN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2028 W POPLAR AVE
Mailing Address - Street 2:SUITE 115
Mailing Address - City:COLLIERVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38017-0618
Mailing Address - Country:US
Mailing Address - Phone:901-221-8983
Mailing Address - Fax:901-221-8985
Practice Address - Street 1:2028 W POPLAR AVE
Practice Address - Street 2:SUITE 115
Practice Address - City:COLLIERVILLE
Practice Address - State:TN
Practice Address - Zip Code:38017-0618
Practice Address - Country:US
Practice Address - Phone:901-221-8983
Practice Address - Fax:901-221-8985
Is Sole Proprietor?:No
Enumeration Date:2006-05-18
Last Update Date:2012-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1791207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3319772Medicaid
TN3319772Medicare ID - Type Unspecified
TN3319772Medicaid