Provider Demographics
NPI:1477826154
Name:ARANY, TANUJA GOULET (DAOM, LAC)
Entity Type:Individual
Prefix:
First Name:TANUJA
Middle Name:GOULET
Last Name:ARANY
Suffix:
Gender:F
Credentials:DAOM, LAC
Other - Prefix:
Other - First Name:TANUJA
Other - Middle Name:ANN
Other - Last Name:GOULET
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DAOM, LAC
Mailing Address - Street 1:117 ELLENFIELD ST STE 101
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02905-4541
Mailing Address - Country:US
Mailing Address - Phone:401-444-6912
Mailing Address - Fax:
Practice Address - Street 1:148 W RIVER ST STE 1G
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02904-2615
Practice Address - Country:US
Practice Address - Phone:401-793-7817
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-11
Last Update Date:2021-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL198-001520171100000X
ORAC156425171100000X
CAAC18548171100000X
RIDAOM00086171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist