Provider Demographics
NPI:1740366459
Name:NARAYAN, RATHI (MD)
Entity type:Individual
Prefix:DR
First Name:RATHI
Middle Name:
Last Name:NARAYAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:RATHI
Other - Middle Name:
Other - Last Name:R
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:135 W RAVINE RD
Mailing Address - Street 2:STE 3A
Mailing Address - City:KINGSPORT
Mailing Address - State:TN
Mailing Address - Zip Code:37660-3847
Mailing Address - Country:US
Mailing Address - Phone:423-246-6777
Mailing Address - Fax:423-246-6777
Practice Address - Street 1:135 W RAVINE RD
Practice Address - Street 2:STE 3A
Practice Address - City:KINGSPORT
Practice Address - State:TN
Practice Address - Zip Code:37660-3847
Practice Address - Country:US
Practice Address - Phone:423-246-6777
Practice Address - Fax:423-246-6777
Is Sole Proprietor?:No
Enumeration Date:2006-10-27
Last Update Date:2009-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV21490207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNTN0121OtherUNITED HEALTHCARE RIVER V
TN3700033Medicaid
KY6407869400Medicaid
TN004145033OtherBCBS OF TN
VA296269OtherANTHEM
VA010416485Medicaid
TNP00419337OtherMEDICARE RAILROAD
TNP00419337OtherMEDICARE RAILROAD
TNTN0121OtherUNITED HEALTHCARE RIVER V