Provider Demographics
NPI:1679598254
Name:GUNTER, ARILUS DAWAN (MD)
Entity Type:Individual
Prefix:DR
First Name:ARILUS
Middle Name:DAWAN
Last Name:GUNTER
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 1:4414 LAKE BOONE TRL STE 402
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27607-7520
Mailing Address - Country:US
Mailing Address - Phone:919-567-6133
Mailing Address - Fax:919-567-6134
Practice Address - Street 1:4414 LAKE BOONE TRL STE 402
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27607-7520
Practice Address - Country:US
Practice Address - Phone:919-567-6133
Practice Address - Fax:919-567-6134
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2023-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9800883207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC891038AMedicaid
NC2258869BMedicare ID - Type Unspecified
NC891038AMedicaid