Provider Demographics
NPI:1922108844
Name:NAROLA, JAY VALLABH (MD)
Entity Type:Individual
Prefix:
First Name:JAY
Middle Name:VALLABH
Last Name:NAROLA
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 2470
Mailing Address - Street 2:
Mailing Address - City:PIKEVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:41502
Mailing Address - Country:US
Mailing Address - Phone:606-432-7233
Mailing Address - Fax:606-432-7255
Practice Address - Street 1:1330 SOUTH MAYO TRAIL
Practice Address - Street 2:NOVA COMPLEX STE 101
Practice Address - City:PIKEVILLE
Practice Address - State:KY
Practice Address - Zip Code:41501
Practice Address - Country:US
Practice Address - Phone:606-432-7233
Practice Address - Fax:606-432-7255
Is Sole Proprietor?:No
Enumeration Date:2006-09-22
Last Update Date:2008-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYKY295492084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV0115599000Medicaid
KY64295496Medicaid
KY000000051427OtherANTHEM
KYE58081OtherBEHAVIORAL MEDICINE NETWO
KY11696OtherCHA
KY000000051427OtherANTHEM
E58081Medicare UPIN