Provider Demographics
NPI:1720201197
Name:VINAY BARARIA MD PC
Entity Type:Organization
Organization Name:VINAY BARARIA MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:VINAY
Authorized Official - Middle Name:
Authorized Official - Last Name:BARARIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:702-979-3670
Mailing Address - Street 1:6850 N DURANGO DR
Mailing Address - Street 2:STE 205
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89149-4595
Mailing Address - Country:US
Mailing Address - Phone:702-979-3670
Mailing Address - Fax:702-992-9140
Practice Address - Street 1:6850 N DURANGO DR
Practice Address - Street 2:STE 205
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89149-4595
Practice Address - Country:US
Practice Address - Phone:702-979-3670
Practice Address - Fax:702-992-9140
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-11
Last Update Date:2009-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVV101626OtherMEDICARE ID
NV100506586Medicaid