Healthcare Provider Details

I. General information

NPI: 1205904448
Provider Name (Legal Business Name): TARUN K NARANG MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/04/2006
Last Update Date: 06/24/2021
Certification Date: 06/24/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 BILLINGSLEY RD SUITE 301
CHARLOTTE NC
28211-1075
US

IV. Provider business mailing address

11301 CARMEL COMMONS BLVD STE 302
CHARLOTTE NC
28226-5305
US

V. Phone/Fax

Practice location:
  • Phone: 704-372-7974
  • Fax:
Mailing address:
  • Phone: 704-372-7974
  • Fax: 704-372-8201

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number2009-00143
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number002417
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: