MEDICARE: DR. VINAY KUNAR BARARIA M.D.

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	207R00000X	Internal Medicine Physician	11355	NV

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
2	CC0675	OTHER	NV	BC/BS PIN NUMBER

General Provider Information

NPI Number	:	1679679096
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VINAY KUNAR BARARIA M.D.

Provider Business Mailing Address
First Line	:	653 N TOWN CENTER DR STE 410
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89144-0518
Country	:	US
Telephone Number	:	702-360-3688
Fax Number	:

Provider Business Practice Location Address
First Line	:	653 N TOWN CENTER DR STE 410
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89144-0518
Country	:	US
Telephone Number	:	702-360-3688
Fax Number	:

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

Provider Enumeration Date	:	09/15/2006
Last Update Date	:	07/08/2007

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