Provider Demographics
NPI:1598728461
Name:ARALU, CLETUS C (MD)
Entity Type:Individual
Prefix:
First Name:CLETUS
Middle Name:C
Last Name:ARALU
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 1:8740 LANDMARK RD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23228-2802
Mailing Address - Country:US
Mailing Address - Phone:804-592-4905
Mailing Address - Fax:804-592-4909
Practice Address - Street 1:8740 LANDMARK RD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23228-2802
Practice Address - Country:US
Practice Address - Phone:804-592-4905
Practice Address - Fax:804-592-4909
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-10
Last Update Date:2013-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01012313412084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1720314677OtherGROUP NPI
VA1720314677OtherGROUP NPI