Individual
TARO ARAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
MD48802L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01669048
—
PA
01
—
0571771000
KEYSTONE HEALTH PLAN
—
01
—
729486
PA BLUE SHIELD
—
Enumeration date
02/20/2007
Last updated
07/08/2007
Update your record
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