Organization
NARRA RADIOLOGY INC.
Active
Other names
Mingo Pike Radiology Inc
Organization subpart
No
Provider details
NPI number
Authorized official
BAPUJI NARRA M.D (OWNER)
(606) 237-6300
Entity
Organization
Contact information
Practice address
411 CENTRAL AVE, #1, SOUTH WILLIAMSON, KY 41503-4149
(606) 237-6300
(606) 237-7444
Mailing address
411 CENTRAL AVE, #1, SOUTH WILLIAMSON, KY 41503-4149
(606) 237-6300
(606) 237-7444
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
21656
KY
2085R0202X
Diagnostic Radiology Physician
21656
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02772
AETNA NETWORK ID
—
01
—
1025204
WV COMP
WV
01
—
1045897
CAMBRIDGE
WV
01
—
300097776
RR MEDICARE
—
05
—
64216567
—
KY
01
—
65036
ANTHEM
—
01
—
65041
BC/BS
KY
05
—
65932956
—
KY
Enumeration date
03/01/2007
Last updated
07/16/2008
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