Basic Information
Provider Information
NPI: 1922248400
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: NARINEDHAT
FirstName: RALPH
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1155 MILL ST # MCM14
Address2:  
City: RENO
State: NV
PostalCode: 895021576
CountryCode: US
TelephoneNumber: 7759825262
FaxNumber: 7759825496
Practice Location
Address1: 903 MEDICAL CENTER DR
Address2:  
City: ARLINGTON
State: WA
PostalCode: 982231697
CountryCode: US
TelephoneNumber: 3604350242
FaxNumber: 3604359135
Other Information
ProviderEnumerationDate: 02/24/2009
LastUpdateDate: 02/03/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 02/03/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000X25MA08498700NJN Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 
207V00000XME103614FLN Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 
207V00000X036137155ILN Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 
207V00000XMD61258157WAY Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 
207V00000X13150NVN Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 

ID Information
IDTypeStateIssuerDescription
03613715505IL MEDICAID
192224840005NV MEDICAID
1197424001 CAQHOTHER


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