Provider Demographics
NPI:1477649465
Name:ARU, GIORGIO M (MD)
Entity Type:Individual
Prefix:DR
First Name:GIORGIO
Middle Name:M
Last Name:ARU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 24146
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MS
Mailing Address - Zip Code:39225-4146
Mailing Address - Country:US
Mailing Address - Phone:601-925-6805
Mailing Address - Fax:601-926-4978
Practice Address - Street 1:2500 N STATE ST
Practice Address - Street 2:R00M L210
Practice Address - City:JACKSON
Practice Address - State:MS
Practice Address - Zip Code:39216-4500
Practice Address - Country:US
Practice Address - Phone:601-984-5170
Practice Address - Fax:601-984-5198
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2012-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS6210208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS64-0914115OtherTAX ID#UNIV SURG ASSOC
MS0119452Medicaid
MS14835OtherMED LICENSE
MSP00634048OtherRR MEDICARE
MS0119452Medicaid
MSG71275Medicare UPIN
MSP00634048OtherRR MEDICARE