Provider Demographics
NPI:1033115761
Name:ARCOT, ANURADHA (MD)
Entity Type:Individual
Prefix:DR
First Name:ANURADHA
Middle Name:
Last Name:ARCOT
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:PO BOX 75107
Mailing Address - Street 2:ONSLOW MEMORIAL HOSPITAL
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28275-0107
Mailing Address - Country:US
Mailing Address - Phone:910-577-4722
Mailing Address - Fax:910-577-4706
Practice Address - Street 1:317 WESTERN BLVD
Practice Address - Street 2:DEPARTMENT OF PATHOLOGY
Practice Address - City:JACKSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28546-6338
Practice Address - Country:US
Practice Address - Phone:910-577-2286
Practice Address - Fax:910-577-2242
Is Sole Proprietor?:No
Enumeration Date:2005-06-27
Last Update Date:2011-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200400795207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC89137HVMedicaid
NC137HVOtherBCBS NC
NC2032351Medicare ID - Type Unspecified
NC89137HVMedicaid