Provider Demographics
NPI:1184657280
Name:ARVAN, YURI (MD)
Entity Type:Individual
Prefix:DR
First Name:YURI
Middle Name:
Last Name:ARVAN
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 1:1320 MAPLEWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:RONCEVERTE
Mailing Address - State:WV
Mailing Address - Zip Code:24970-8016
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1322 MAPLEWOOD AVE STE A
Practice Address - Street 2:
Practice Address - City:RONCEVERTE
Practice Address - State:WV
Practice Address - Zip Code:24970-8016
Practice Address - Country:US
Practice Address - Phone:304-647-1186
Practice Address - Fax:304-647-3006
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-09
Last Update Date:2023-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV21586207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV054OtherMTST BCBS
WV143283OtherANTHEM BCBS
WV7439592OtherAETNA
WV010140501OtherFIRST HEALTH
WV3810000225Medicaid
WVH90691Medicare UPIN
WVAR4136821Medicare ID - Type Unspecified
WV143283OtherANTHEM BCBS