Provider Demographics
NPI:1750439824
Name:NARWANI, AJAY MOHAN (MD)
Entity type:Individual
Prefix:DR
First Name:AJAY
Middle Name:MOHAN
Last Name:NARWANI
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 1:1466 W ELLIOT RD
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85233-5186
Mailing Address - Country:US
Mailing Address - Phone:480-496-2699
Mailing Address - Fax:877-422-3184
Practice Address - Street 1:1466 W ELLIOT RD
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85233
Practice Address - Country:US
Practice Address - Phone:480-496-2699
Practice Address - Fax:877-422-3184
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2018-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ35814207L00000X
AZAZ-35814207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ199555Medicaid
AZ199555Medicaid