Provider Demographics
NPI:1174707558
Name:NARANG, OMPRAKASH VASHUMAL (MD)
Entity type:Individual
Prefix:DR
First Name:OMPRAKASH
Middle Name:VASHUMAL
Last Name:NARANG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:OMI
Other - Middle Name:V
Other - Last Name:NARANG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:5875 BREMO RD
Mailing Address - Street 2:SUITE 110
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23226-1934
Mailing Address - Country:US
Mailing Address - Phone:804-288-1040
Mailing Address - Fax:804-288-2632
Practice Address - Street 1:5875 BREMO RD
Practice Address - Street 2:SUITE 110
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23226-1934
Practice Address - Country:US
Practice Address - Phone:804-288-1040
Practice Address - Fax:804-288-2632
Is Sole Proprietor?:No
Enumeration Date:2007-12-20
Last Update Date:2011-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101054777207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA80133482OtherMEDICARE RAILROAD
VA10503OtherCARENET
VA45849OtherOPTIMA
VA0403884OtherCIGNA HMO
VA1666OtherCIGNA
VA80969OtherVIRGINIA PREMIER
VA005636701Medicaid
VAC06778OtherGROUP PTAN
VA224607OtherANTHEM
VA101577OtherUNITED HEALTHCARE
VA5828493OtherAETNA
VA89762OtherSOUTHERN HEALTH SERVICES
VA0403884OtherCIGNA HMO
VA5828493OtherAETNA