Provider Demographics
NPI:1700036431
Name:NARACH, TIENCHAI (MD)
Entity Type:Individual
Prefix:DR
First Name:TIENCHAI
Middle Name:
Last Name:NARACH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2435 FIRE MESA ST
Mailing Address - Street 2:SUITE 120
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89128-9009
Mailing Address - Country:US
Mailing Address - Phone:725-200-3232
Mailing Address - Fax:725-200-3233
Practice Address - Street 1:2435 FIRE MESA ST STE 120
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89128
Practice Address - Country:US
Practice Address - Phone:702-968-2437
Practice Address - Fax:702-479-1796
Is Sole Proprietor?:No
Enumeration Date:2008-09-30
Last Update Date:2018-08-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NV16689207RI0200X
KS04-35711207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease