Provider Demographics
NPI:1578099495
Name:ARROYAVE, AARON JOSEPH (MD)
Entity Type:Individual
Prefix:
First Name:AARON
Middle Name:JOSEPH
Last Name:ARROYAVE
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 1:1215 HADLEY RD STE 201
Mailing Address - Street 2:
Mailing Address - City:MOORESVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46158-2907
Mailing Address - Country:US
Mailing Address - Phone:317-834-9618
Mailing Address - Fax:
Practice Address - Street 1:1215 HADLEY RD STE 201
Practice Address - Street 2:
Practice Address - City:MOORESVILLE
Practice Address - State:IN
Practice Address - Zip Code:46158-2907
Practice Address - Country:US
Practice Address - Phone:317-834-9618
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-11
Last Update Date:2023-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN390200000X
IN01089394A208C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program