Provider Demographics
NPI:1205052636
Name:NEONATOLOGY & INPATIENT PEDIATRICS, INC
Entity type:Organization
Organization Name:NEONATOLOGY & INPATIENT PEDIATRICS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ATHI
Authorized Official - Middle Name:
Authorized Official - Last Name:NARAYAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:248-932-2116
Mailing Address - Street 1:1964 WESTLAKE CT
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48302-1286
Mailing Address - Country:US
Mailing Address - Phone:248-932-2116
Mailing Address - Fax:248-680-9555
Practice Address - Street 1:1964 WESTLAKE CT
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD HILLS
Practice Address - State:MI
Practice Address - Zip Code:48302-1286
Practice Address - Country:US
Practice Address - Phone:248-932-2116
Practice Address - Fax:248-680-9555
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-17
Last Update Date:2007-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI43010556392080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4994425Medicaid
MI4301055639OtherSTATE LICENCE NUMBER
MI4994425Medicaid