Provider Demographics
NPI:1518937671
Name:ARAZOZA, EDUARDO ANTONIO (MD)
Entity Type:Individual
Prefix:DR
First Name:EDUARDO
Middle Name:ANTONIO
Last Name:ARAZOZA
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 1:140 CANAL VIEW BLVD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14623-2808
Mailing Address - Country:US
Mailing Address - Phone:585-338-2700
Mailing Address - Fax:585-242-9663
Practice Address - Street 1:140 CANAL VIEW BLVD
Practice Address - Street 2:SUITE 102
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14623-2808
Practice Address - Country:US
Practice Address - Phone:585-338-2700
Practice Address - Fax:585-242-9663
Is Sole Proprietor?:No
Enumeration Date:2006-01-23
Last Update Date:2023-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY170693207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
7701200OtherMVP
PO10170693OtherEXCELLUS
4266400OtherAETNA
9682188OtherGHI
PO10170693OtherGRIPA
301130OtherWELLCARE (GRIPA)
6890OtherBCBS
005242111OtherCOMMUNITY BLUE
RC60170693OtherRCIPA
000913204004OtherHEALTHNOW(LINDEN)
005242111OtherHEALTHNOW (PARNALL)
MD447QOtherPREFERRED CARE
PO10170693OtherVIAHEALTH PLAN
060022260OtherRAILROAD MEDICARE
00010001212-3OtherUNITED HEALTHCARE
NY01343228Medicaid
7701200OtherMVP
7701200OtherMVP