Provider Demographics
NPI:1457337420
Name:NARAHARI, NAVEEN VYMUTT (MD)
Entity Type:Individual
Prefix:DR
First Name:NAVEEN
Middle Name:VYMUTT
Last Name:NARAHARI
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 1:2417 ATRIUM DR
Mailing Address - Street 2:SUITE 150
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27607-6673
Mailing Address - Country:US
Mailing Address - Phone:919-791-2040
Mailing Address - Fax:919-791-2041
Practice Address - Street 1:2417 ATRIUM DR
Practice Address - Street 2:SUITE 150
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27607-6673
Practice Address - Country:US
Practice Address - Phone:919-791-2040
Practice Address - Fax:919-791-2041
Is Sole Proprietor?:No
Enumeration Date:2005-12-21
Last Update Date:2011-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2005-01036207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC139TEOtherBCBS
NC2536963OtherUNITED
NC2536963OtherMAMSI
NC5901106Medicaid
NC806048OtherPARTNERS
NCP00232774OtherRAILROAD MEDICARE
NC7390328OtherAETNA
NC5497493OtherCIGNA
NCE3150OtherMEDCOST
NC139TEOtherBCBS
NCP00232774OtherRAILROAD MEDICARE