Provider Demographics
NPI:1598743031
Name:NARAIN, VIVEK Y (MD)
Entity Type:Individual
Prefix:
First Name:VIVEK
Middle Name:Y
Last Name:NARAIN
Suffix:
Gender:M
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:PO BOX 116800
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30368-9879
Mailing Address - Country:US
Mailing Address - Phone:615-261-6000
Mailing Address - Fax:615-261-6052
Practice Address - Street 1:405 STEAM PLANT RD
Practice Address - Street 2:UROLOGY ASSOCIATES, PC
Practice Address - City:GALLATIN
Practice Address - State:TN
Practice Address - Zip Code:37066
Practice Address - Country:US
Practice Address - Phone:615-452-5225
Practice Address - Fax:615-230-8907
Is Sole Proprietor?:No
Enumeration Date:2006-01-05
Last Update Date:2016-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD36500208800000X
KY37450208800000X
TN36500208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN340020289OtherRR MEDICARE
TN4038906OtherBLUE CROSS
KY64054497Medicaid
TN3876591Medicaid
H68606Medicare UPIN
KY64054497Medicaid