Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | D0014127 | MD |
NPI | 1023091709 |
---|---|
Provider Name | Gerardo G Araiza |
First Address | Fulton, MD 20759-2694 |
Second Address | Frederick, MD 21702-4301 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/11/2005 |
Last Update Date | 27/09/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
994L | (02) | MD |