MEDICARE: VIKRAM NARULA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208100000X	Physical Medicine & Rehabilitation Physician	4301081836	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1124236914
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VIKRAM NARULA MD

Provider Business Mailing Address
First Line	:	30701 BARRINGTON ST
Second Line	:	SUITE 150
City	:	MADISON HEIGHTS
State	:	MI
Zip	:	48071-5106
Country	:	US
Telephone Number	:	248-616-1170
Fax Number	:

Provider Business Practice Location Address
First Line	:	30701 BARRINGTON ST
Second Line	:	SUITE 150
City	:	MADISON HEIGHTS
State	:	MI
Zip	:	48071-5106
Country	:	US
Telephone Number	:	248-616-1170
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/18/2007
Last Update Date	:	02/10/2015

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