Healthcare Provider Details

I. General information

NPI: 1215979711
Provider Name (Legal Business Name): TARIQ A ARAIN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/11/2006
Last Update Date: 02/06/2025
Certification Date: 02/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

90 COMMERCE DR
LANCASTER KY
40444-9766
US

IV. Provider business mailing address

PO BOX 910866
LEXINGTON KY
40591-0866
US

V. Phone/Fax

Practice location:
  • Phone: 859-792-1420
  • Fax: 859-792-1240
Mailing address:
  • Phone: 859-792-1420
  • Fax: 859-792-1240

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number39763
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number39763
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: