Individual
CHERYL R. ARVANITIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
253 SAGAMORE PKWY W, WEST LAFAYETTE, IN 47906-1501
(765) 448-8001
Mailing address
1200 W WHITE RIVER BLVD, MUNCIE, IN 47303-4988
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
02004509A
IN
207Q00000X
Family Medicine Physician
02004509A
IN
207Q00000X
Family Medicine Physician
02966
KY
207Q00000X
Family Medicine Physician
2173
WV
207Q00000X
Family Medicine Physician
34-007848R
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000905552
ANTHEM PROVIDER NUMBER
IN
05
—
201262500
—
IN
05
—
2363204
—
OH
Enumeration date
10/04/2006
Last updated
03/07/2023
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