Healthcare Provider Details

I. General information

NPI: 1629771381
Provider Name (Legal Business Name): NARESH KAFLE
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/22/2023
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1350 E MARKET ST
WARREN OH
44483-6608
US

IV. Provider business mailing address

1 WILLIAM ST APT 534
ENGLEWOOD NJ
07631-3691
US

V. Phone/Fax

Practice location:
  • Phone: 330-675-5714
  • Fax:
Mailing address:
  • Phone: 551-999-8124
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number62062
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number62062
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: