Individual provider · Type 1 NPI

Vitaly Gennadievich Nazarov, MD

Internal Medicine Physician · Kingsport, TN

NPI number 1760469084 Active

Practice location

130 W Ravine Rd
Kingsport, TN 37660-3837

Call (423) 224-3628 Map

Fax (423) 230-8502

Mailing address

105 W Stone Dr, Suite 6A
Kingsport, TN 37660-3365

Specialties and licenses

TaxonomyCodeLicense
Hospitalist Physician 208M00000X0101254975 (VA)
Hospitalist Physician 208M00000X40147 (TN)
Internal Medicine Physician Primary 207R00000X2017038349 (MO)

Internal Medicine Physician: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medi…

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About NPI 1760469084

Vitaly Gennadievich Nazarov, MD's National Provider Identifier is 1760469084, issued on Dec 28, 2005. The primary taxonomy on file is Internal Medicine Physician (207R00000X), and the practice location is in Kingsport, TN. The record was last updated on Nov 21, 2025.