Provider Demographics
NPI:1063114478
Name:NARAYAN, VINESHNI MALA
Entity type:Individual
Prefix:
First Name:VINESHNI
Middle Name:MALA
Last Name:NARAYAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 BERCUT DRIVE
Mailing Address - Street 2:NONE
Mailing Address - City:SAC
Mailing Address - State:CA
Mailing Address - Zip Code:95811
Mailing Address - Country:US
Mailing Address - Phone:916-441-6377
Mailing Address - Fax:916-440-1514
Practice Address - Street 1:3780 ROSIN CT STE 110
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95834-1698
Practice Address - Country:US
Practice Address - Phone:916-234-2577
Practice Address - Fax:916-441-0286
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-20
Last Update Date:2024-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical