Provider Demographics
NPI:1134293871
Name:ARANCA, ANDRES (MD)
Entity Type:Individual
Prefix:
First Name:ANDRES
Middle Name:
Last Name:ARANCA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15217 8TH AVE S
Mailing Address - Street 2:SUITE A
Mailing Address - City:BURIEN
Mailing Address - State:WA
Mailing Address - Zip Code:98148-2566
Mailing Address - Country:US
Mailing Address - Phone:206-431-8830
Mailing Address - Fax:206-431-8833
Practice Address - Street 1:15217 8TH AVE S
Practice Address - Street 2:SUITE A
Practice Address - City:BURIEN
Practice Address - State:WA
Practice Address - Zip Code:98148-2566
Practice Address - Country:US
Practice Address - Phone:206-431-8830
Practice Address - Fax:206-431-8833
Is Sole Proprietor?:No
Enumeration Date:2006-11-17
Last Update Date:2008-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00020700207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1018605Medicaid
WA1018605Medicaid