Provider Demographics
NPI:1679679096
Name:BARARIA, VINAY KUNAR (MD)
Entity Type:Individual
Prefix:DR
First Name:VINAY
Middle Name:KUNAR
Last Name:BARARIA
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 1:653 N TOWN CENTER DR STE 410
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89144-0518
Mailing Address - Country:US
Mailing Address - Phone:702-360-3688
Mailing Address - Fax:
Practice Address - Street 1:653 N TOWN CENTER DR STE 410
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89144-0518
Practice Address - Country:US
Practice Address - Phone:702-360-3688
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV11355207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV100506586Medicaid
NVCC0675OtherBC/BS PIN NUMBER
NV101626Medicare ID - Type UnspecifiedGROUP MEDICARE NUMBER
NVI44535Medicare UPIN
NV100506586Medicaid