Individual
DR. ARASI THANGAVELU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1400 VILLAGE SQUARE BLVD STE 3-258, TALLAHASSEE, FL 32312-1250
(850) 545-9376
Mailing address
1400 VILLAGE SQUARE BLVD STE 3-258, TALLAHASSEE, FL 32312-1250
(850) 518-4325
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
051771
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000954159D
—
GA
05
—
000954159G
—
GA
01
—
336307
WELLCARE
GA
01
—
52008844-003
BCBS
GA
01
—
52008844002
BCBS
GA
01
—
930123503
RAILROAD MEDICARE
GA
Enumeration date
09/20/2005
Last updated
04/27/2021
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