Individual
DR. ARUN UTHAYASHANKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
85 HERRICK ST, BEVERLY, MA 01915-1790
(978) 816-3700
Mailing address
PROVIDER ENROLLMENT 41 MALL ROAD, BURLINGTON, MA 01805-0001
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
003538-1
NY
207L00000X
Anesthesiology Physician
Primary
261214
MA
207L00000X
Anesthesiology Physician
MT189107
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03241572
—
NY
Enumeration date
05/26/2010
Last updated
12/07/2023
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