Provider Demographics
NPI:1598385148
Name:NARAVANE, AMEAY VIJAY (MD)
Entity type:Individual
Prefix:DR
First Name:AMEAY
Middle Name:VIJAY
Last Name:NARAVANE
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 1:1501 W MINERAL AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80120-5716
Mailing Address - Country:US
Mailing Address - Phone:303-730-0404
Mailing Address - Fax:720-647-4210
Practice Address - Street 1:1501 W MINERAL AVE STE 100
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80120-5716
Practice Address - Country:US
Practice Address - Phone:303-730-0404
Practice Address - Fax:720-647-4210
Is Sole Proprietor?:No
Enumeration Date:2020-04-23
Last Update Date:2025-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2024009380207WX0009X
CODR.0075821207WX0009X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0009XAllopathic & Osteopathic PhysiciansOphthalmologyGlaucoma Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO200142578Medicaid