Provider Demographics
NPI:1003893512
Name:ARANAS, NINEVAH (MD)
Entity Type:Individual
Prefix:
First Name:NINEVAH
Middle Name:
Last Name:ARANAS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1662 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12205-4001
Mailing Address - Country:US
Mailing Address - Phone:518-869-9692
Mailing Address - Fax:518-869-7220
Practice Address - Street 1:1662 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12205-4001
Practice Address - Country:US
Practice Address - Phone:518-869-9692
Practice Address - Fax:518-869-7220
Is Sole Proprietor?:No
Enumeration Date:2005-12-27
Last Update Date:2011-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY121327207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
11545OtherMVP ALBANY
23S303OtherBLUE CROSS BLUE SHIELD RO
01598OtherMVP LATHAM
23S302OtherBLUE CROSS BLUE SHIELD AL
000496767002OtherBLUE SHIELD OF NENY LA
141659448OtherUNITED HEALTH CARE LATHAM
000400079001OtherURGENT CARE
000496767001OtherBLUE SHIELD OF NENY AL
141659448OtherSTATEWIDE PPO ALBANY
23S301OtherBLUE CROSS BLUE SHIELD LA
55505OtherGHI HMO ALBANY
141659448OtherSTATEWIDE PPO LATHAM
55505OtherGHI HMO LATHAM
141752151OtherSTATEWIDE PPO ROTTERDAM
2594606OtherGHI LATHAM
10010858OtherCDPHP ALBANY
141659448OtherUNITED HEALTH CARE ALBANY
2594606OtherGHI ALBANY
4295947OtherAETNA
23S301OtherBLUE CROSS BLUE SHIELD LA