1174949184 NPI number — THIRU S. ARASU, MD, PA

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1174949184 NPI number — THIRU S. ARASU, MD, PA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
THIRU S. ARASU, MD, PA
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

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:
1174949184
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/20/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3003 W. MARTIN LUTHER KING BLVD
Provider Second Line Business Mailing Address:
MS 3012
Provider Business Mailing Address City Name:
TAMPA
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33607-6307
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
813-870-4438
Provider Business Mailing Address Fax Number:
813-870-4153

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
205 S MOON AVE
Provider Second Line Business Practice Location Address:
SUITE 103
Provider Business Practice Location Address City Name:
BRANDON
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33511-5716
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
813-870-4438
Provider Business Practice Location Address Fax Number:
813-870-4153
Provider Enumeration Date:
03/14/2014

Additional Information

Authorized Official

Authorized Official Last Name:
ARASU
Authorized Official First Name:
THIRU
Authorized Official Middle Name:
S
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
813-870-4438

Provider Taxonomy Codes

  • Taxonomy code: 2080P0206X , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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