Provider Demographics
NPI:1487667788
Name:ARUWANI, VERSI MAL (MD)
Entity Type:Individual
Prefix:
First Name:VERSI
Middle Name:MAL
Last Name:ARUWANI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:N/A
Other - Middle Name:N/A
Other - Last Name:N/A
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:55 MEDICAL PARK DR
Mailing Address - Street 2:SUITE 116
Mailing Address - City:FRANKLIN
Mailing Address - State:NC
Mailing Address - Zip Code:28734-2635
Mailing Address - Country:US
Mailing Address - Phone:828-349-6880
Mailing Address - Fax:828-349-6885
Practice Address - Street 1:55 MEDICAL PARK DR
Practice Address - Street 2:SUITE 116
Practice Address - City:FRANKLIN
Practice Address - State:NC
Practice Address - Zip Code:28734-2635
Practice Address - Country:US
Practice Address - Phone:828-349-6880
Practice Address - Fax:828-349-6885
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-15
Last Update Date:2010-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200001557207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC89136Y4Medicaid
NCG58194Medicare UPIN