1083659148 NPI number — ANNAPOORNA ARUNACHALAM M.D.

Table of content: ANNAPOORNA ARUNACHALAM M.D. (NPI 1083659148)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1083659148 NPI number — ANNAPOORNA ARUNACHALAM M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ARUNACHALAM
Provider First Name:
ANNAPOORNA
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.D.
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:
1083659148
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/03/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3150 S CONGRESS AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PALM SPRINGS
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33461-2552
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
561-434-4261
Provider Business Mailing Address Fax Number:
561-434-5039

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3150 S CONGRESS AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PALM SPRINGS
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33461-2552
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
561-434-4261
Provider Business Practice Location Address Fax Number:
561-434-5039
Provider Enumeration Date:
06/20/2006

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: 207RE0101X , with the licence number:  ME68509 , 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)

  • Identifier: 16338 . This is a "HEALTH EASE ID" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 650937559 . This is a "FIRST HEALTH INSURANCE ID" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: G14494 . This is a "VISTA HEALTH ID" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 379873900 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 650937559 . This is a "HUMANA ID" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 910754100 . This is a "FL NETPASS ID" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 0005387139 . This is a "AETNA ID" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 43334 . This is a "NEIGHBORHOOD HEALTH ID" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 104164 . This is a "AVMED ID" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 460003791 . This is a "MEDICARE RAILROAD ID" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 17995 . This is a "TOTAL HEALTH CHOICE ID" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 28216 . This is a "BCBS ID" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 6011408 . This is a "GHI ID" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 650937559 . This is a "UNITED HEALTH CARE ID" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com