Provider Demographics
NPI:1073698866
Name:ARAQUE, JULIO MARIO (MD)
Entity Type:Individual
Prefix:
First Name:JULIO
Middle Name:MARIO
Last Name:ARAQUE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1499 WALTON WAY STE 1400
Mailing Address - Street 2:ATTN: SABRINA THOMAS
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30901-2603
Mailing Address - Country:US
Mailing Address - Phone:706-828-6410
Mailing Address - Fax:706-722-7235
Practice Address - Street 1:1120 15TH ST
Practice Address - Street 2:DEPARTMENT OF RADIOLOGY
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30912-0004
Practice Address - Country:US
Practice Address - Phone:706-721-3670
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-27
Last Update Date:2017-02-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA0584372085N0700X, 2085P0229X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085N0700XAllopathic & Osteopathic PhysiciansRadiologyNeuroradiology
No2085P0229XAllopathic & Osteopathic PhysiciansRadiologyPediatric Radiology