Provider Demographics
NPI:1558544221
Name:R. ARUNACHALAM, MD, PC
Entity Type:Organization
Organization Name:R. ARUNACHALAM, MD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE OWNER
Authorized Official - Prefix:
Authorized Official - First Name:R.
Authorized Official - Middle Name:
Authorized Official - Last Name:ARUNACHALAM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:615-942-7230
Mailing Address - Street 1:PO BOX 111055
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37222-1055
Mailing Address - Country:US
Mailing Address - Phone:615-942-7230
Mailing Address - Fax:615-942-7237
Practice Address - Street 1:395 WALLACE RD
Practice Address - Street 2:SUITE B301
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37211-4881
Practice Address - Country:US
Practice Address - Phone:615-942-7230
Practice Address - Fax:615-942-7237
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-17
Last Update Date:2008-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD0000039953207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN33324051OtherMEDICARE INDIVIDUAL PTAN
TN33324052OtherMEDICARE GROUP PTAN
TN1558544221OtherGROUP NPI
TN1467562611OtherINDIVIDUAL NPI
TN4169800OtherBCBS PROVIDER NUMBER
TN33324051OtherMEDICARE INDIVIDUAL PTAN