DR. VITALY NAZAROV, MD
Internal Medicine
Active
Individual
NPI: 1760469084
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Hospitalist | 208M00000X | No | 40147 (TN) |
| Internal Medicine | 207R00000X | Yes | 2017038349 (MO) |
Frequently Asked Questions
NPI 1760469084 is the National Provider Identifier for DR. VITALY NAZAROV, MD, a Internal Medicine provider located in Kingsport, TN. This NPI was enumerated on December 28, 2005.
DR. VITALY NAZAROV, MD practices at 130 W RAVINE RD, Kingsport, TN 37660.
Quick Facts
- NPI
- 1760469084
- Type
- Individual
- Enumerated
- Dec 28, 2005
- Last Updated
- Nov 21, 2025
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