Provider Demographics
NPI:1477538734
Name:AARON, CAREN TOBIN (MD)
Entity Type:Individual
Prefix:DR
First Name:CAREN
Middle Name:TOBIN
Last Name:AARON
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 1:319 HOSPITAL DR
Mailing Address - Street 2:SUITE 202
Mailing Address - City:MARTINSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24112-1929
Mailing Address - Country:US
Mailing Address - Phone:276-666-0452
Mailing Address - Fax:276-666-0363
Practice Address - Street 1:319 HOSPITAL DR
Practice Address - Street 2:SUITE 202
Practice Address - City:MARTINSVILLE
Practice Address - State:VA
Practice Address - Zip Code:24112-1929
Practice Address - Country:US
Practice Address - Phone:276-666-0452
Practice Address - Fax:276-666-0363
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-09
Last Update Date:2012-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101057839207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0101057839OtherVA MEDICAL LICENSE
VA010263409Medicaid
VA00X070C01Medicare PIN
H11567Medicare UPIN