Healthcare Provider Details

I. General information

NPI: 1245192202
Provider Name (Legal Business Name): PRAVEEN NARAHARI MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/28/2025
Last Update Date: 11/28/2025
Certification Date: 11/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

103 SPENRYN DR
MADISON AL
35758-1891
US

IV. Provider business mailing address

103 SPENRYN DR
MADISON AL
35758-1891
US

V. Phone/Fax

Practice location:
  • Phone: 256-871-5918
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084A0401X
TaxonomyAddiction Medicine (Psychiatry & Neurology) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2084P0805X
TaxonomyGeriatric Psychiatry Physician
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: PRAVEEN NARAHARI
Title or Position: PRESIDENT
Credential: MD
Phone: 859-979-2435