Provider Demographics
NPI:1609805571
Name:ARAUJO, ROBERTO (DPM)
Entity Type:Individual
Prefix:
First Name:ROBERTO
Middle Name:
Last Name:ARAUJO
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5730 EXECUTIVE DR STE 230
Mailing Address - Street 2:
Mailing Address - City:CATONSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21228-1762
Mailing Address - Country:US
Mailing Address - Phone:410-402-2379
Mailing Address - Fax:410-469-3085
Practice Address - Street 1:3110 GRACEFIELD RD
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20904-1820
Practice Address - Country:US
Practice Address - Phone:301-572-8340
Practice Address - Fax:301-572-8403
Is Sole Proprietor?:No
Enumeration Date:2006-07-02
Last Update Date:2022-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD01133213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
2702084OtherEVERCARE
617591-05OtherBCBS MD (OCV)
0046OtherCAREFIRST
0943ER-617591-04OtherCAREFIRST BCBS OF MD
617591-03OtherBCBS MD (CCI)
9680-0005OtherCAREFIRST BCBS OF DC
MD402933000Medicaid
0943SE-917591-04OtherCAREFIRST BCBS OF MD
617591-04OtherBCBS MD (RWV)
0943SE-917591-04OtherCAREFIRST BCBS OF MD
U19924Medicare UPIN
P00334579Medicare PIN
590LN067Medicare PIN
617591-03OtherBCBS MD (CCI)
N067Medicare PIN
617591-05OtherBCBS MD (OCV)