Provider Demographics
NPI:1528576097
Name:NAR, NAVEEN
Entity Type:Individual
Prefix:
First Name:NAVEEN
Middle Name:
Last Name:NAR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3554 VOGT CT
Mailing Address - Street 2:
Mailing Address - City:YUBA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95993-9111
Mailing Address - Country:US
Mailing Address - Phone:530-300-0315
Mailing Address - Fax:
Practice Address - Street 1:2703 ORO DAM BLVD E
Practice Address - Street 2:
Practice Address - City:OROVILLE
Practice Address - State:CA
Practice Address - Zip Code:95966-5116
Practice Address - Country:US
Practice Address - Phone:530-534-1283
Practice Address - Fax:530-534-1830
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-17
Last Update Date:2018-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA76149183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist