Provider Demographics
NPI:1720654809
Name:NARAIN, RUPIKA
Entity Type:Individual
Prefix:
First Name:RUPIKA
Middle Name:
Last Name:NARAIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4105 BUTTONBUSH MEADOW CT
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40241-4172
Mailing Address - Country:US
Mailing Address - Phone:502-235-2164
Mailing Address - Fax:
Practice Address - Street 1:4105 BUTTONBUSH MEADOW CT
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40241-4172
Practice Address - Country:US
Practice Address - Phone:502-235-2164
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-31
Last Update Date:2021-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY106181223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry