Provider Demographics
NPI:1811953250
Name:MAINGI, NARESH S (MD)
Entity type:Individual
Prefix:
First Name:NARESH
Middle Name:S
Last Name:MAINGI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1433 N 2ND STREET
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17102-2610
Mailing Address - Country:US
Mailing Address - Phone:717-234-4674
Mailing Address - Fax:717-303-3583
Practice Address - Street 1:1433 N 2ND STREET
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17102-2610
Practice Address - Country:US
Practice Address - Phone:717-234-4674
Practice Address - Fax:717-303-3583
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-25
Last Update Date:2016-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD036040L208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
B36459Medicare UPIN