Provider Demographics
NPI:1780847665
Name:ARUCH, DANIEL BRYAN (MD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:BRYAN
Last Name:ARUCH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:6350 CENTER DR STE 200
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23502-4107
Mailing Address - Country:US
Mailing Address - Phone:757-213-5683
Mailing Address - Fax:757-213-5762
Practice Address - Street 1:1950 GLENN MITCHELL DR STE 102
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23456-0019
Practice Address - Country:US
Practice Address - Phone:757-368-0437
Practice Address - Fax:757-368-0492
Is Sole Proprietor?:No
Enumeration Date:2008-07-09
Last Update Date:2018-03-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TX10030832207R00000X, 208000000X
TXP1621207R00000X
NY269413207R00000X
SC39125207RH0003X
VA0101263410207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTXB157695Medicare PIN