Provider Demographics
NPI:1336883495
Name:ARIAGA, ANDERSON CHUKWUKA (MD)
Entity Type:Individual
Prefix:MR
First Name:ANDERSON
Middle Name:CHUKWUKA
Last Name:ARIAGA
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 1:45 READE PLACE, VASSAR BROTHERS MEDICAL CENTER
Mailing Address - Street 2:
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12601-3990
Mailing Address - Country:US
Mailing Address - Phone:845-790-1314
Mailing Address - Fax:
Practice Address - Street 1:45 READE PLACE, VASSAR BROTHERS MEDICAL CENTER
Practice Address - Street 2:
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12601-3990
Practice Address - Country:US
Practice Address - Phone:845-790-1314
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-25
Last Update Date:2023-02-06
Deactivation Date:2023-01-27
Deactivation Code:
Reactivation Date:2023-02-06
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program