Provider Demographics
NPI:1922066828
Name:NARAIN, TULIKA (MD)
Entity type:Individual
Prefix:DR
First Name:TULIKA
Middle Name:
Last Name:NARAIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2310 KINGSCROSS DR
Mailing Address - Street 2:
Mailing Address - City:SHELBY TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48316-1208
Mailing Address - Country:US
Mailing Address - Phone:631-241-4444
Mailing Address - Fax:
Practice Address - Street 1:60005 CAMPGROUND RD STE 100
Practice Address - Street 2:
Practice Address - City:WASHINGTON TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48094-3446
Practice Address - Country:US
Practice Address - Phone:586-232-5355
Practice Address - Fax:586-745-9271
Is Sole Proprietor?:No
Enumeration Date:2006-05-02
Last Update Date:2024-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301511597208000000X
NY213792208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYH11642Medicare UPIN