1003893512 NPI number — NINEVAH ARANAS MD

Table of content: NINEVAH ARANAS MD (NPI 1003893512)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1003893512 NPI number — NINEVAH ARANAS MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ARANAS
Provider First Name:
NINEVAH
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1003893512
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/28/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1662 CENTRAL AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ALBANY
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
12205-4001
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
518-869-9692
Provider Business Mailing Address Fax Number:
518-869-7220

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1662 CENTRAL AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ALBANY
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
12205-4001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
518-869-9692
Provider Business Practice Location Address Fax Number:
518-869-7220
Provider Enumeration Date:
12/27/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  121327 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 11545 . This is a "MVP ALBANY" identifier . This identifiers is of the category "OTHER".
  • Identifier: 23S303 . This is a "BLUE CROSS BLUE SHIELD RO" identifier . This identifiers is of the category "OTHER".
  • Identifier: 01598 . This is a "MVP LATHAM" identifier . This identifiers is of the category "OTHER".
  • Identifier: 23S302 . This is a "BLUE CROSS BLUE SHIELD AL" identifier . This identifiers is of the category "OTHER".
  • Identifier: 000496767002 . This is a "BLUE SHIELD OF NENY LA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 141659448 . This is a "UNITED HEALTH CARE LATHAM" identifier . This identifiers is of the category "OTHER".
  • Identifier: 000400079001 . This is a "URGENT CARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 000496767001 . This is a "BLUE SHIELD OF NENY AL" identifier . This identifiers is of the category "OTHER".
  • Identifier: 141659448 . This is a "STATEWIDE PPO ALBANY" identifier . This identifiers is of the category "OTHER".
  • Identifier: 23S301 . This is a "BLUE CROSS BLUE SHIELD LA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 55505 . This is a "GHI HMO ALBANY" identifier . This identifiers is of the category "OTHER".
  • Identifier: 141659448 . This is a "STATEWIDE PPO LATHAM" identifier . This identifiers is of the category "OTHER".
  • Identifier: 55505 . This is a "GHI HMO LATHAM" identifier . This identifiers is of the category "OTHER".
  • Identifier: 141752151 . This is a "STATEWIDE PPO ROTTERDAM" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2594606 . This is a "GHI LATHAM" identifier . This identifiers is of the category "OTHER".
  • Identifier: 10010858 . This is a "CDPHP ALBANY" identifier . This identifiers is of the category "OTHER".
  • Identifier: 141659448 . This is a "UNITED HEALTH CARE ALBANY" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2594606 . This is a "GHI ALBANY" identifier . This identifiers is of the category "OTHER".
  • Identifier: 4295947 . This is a "AETNA" identifier . This identifiers is of the category "OTHER".




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