Provider Demographics
NPI:1215979711
Name:ARAIN, TARIQ A (MD)
Entity type:Individual
Prefix:DR
First Name:TARIQ
Middle Name:A
Last Name:ARAIN
Suffix:
Gender:M
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:PO BOX 910866
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40591-0866
Mailing Address - Country:US
Mailing Address - Phone:859-792-1420
Mailing Address - Fax:859-792-1240
Practice Address - Street 1:90 COMMERCE DR
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:KY
Practice Address - Zip Code:40444-9766
Practice Address - Country:US
Practice Address - Phone:859-792-1420
Practice Address - Fax:859-792-1240
Is Sole Proprietor?:No
Enumeration Date:2006-06-11
Last Update Date:2025-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY39763207Q00000X, 207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY64114580Medicaid
KY1226577OtherCHA
KY000000477126OtherBLUE CROSS
KYI47521Medicare UPIN
KY64114580Medicaid