Individual
ARIA ARRIZABALAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10122 E. 10TH STREET, SUITE 100, INDIANAPOLIS, IN 46229-2697
(317) 355-5717
(317) 355-3760
Mailing address
6626 E 75TH ST, SUITE 500, INDIANAPOLIS, IN 46250-2805
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
M9109
ID
207Q00000X
Family Medicine Physician
Primary
01071400A
IN
207Q00000X
Family Medicine Physician
MD00046851
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201075810
—
IN
05
—
807005000
—
ID
05
—
8415861
—
WA
01
—
P01157034
RR MEDICARE PTAN
IN
Enumeration date
02/15/2006
Last updated
02/26/2024
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