Provider Demographics
NPI:1649228081
Name:ARO, MICHAEL RANTIOLU (MD)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:RANTIOLU
Last Name:ARO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 843966
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64184-3966
Mailing Address - Country:US
Mailing Address - Phone:573-884-3300
Mailing Address - Fax:573-884-0943
Practice Address - Street 1:1 HOSPITAL DR
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65212-0001
Practice Address - Country:US
Practice Address - Phone:573-882-1161
Practice Address - Fax:573-884-8876
Is Sole Proprietor?:No
Enumeration Date:2006-05-05
Last Update Date:2022-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20010014582085R0204X, 2085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO205702517Medicaid
MO1601165OtherUNITED HEALTHCARE
MO127217OtherBLUE CHOICE
MO464029OtherHEALTHLINK
MO205702517Medicaid
MO464029OtherHEALTHLINK
MOP00415531Medicare PIN
MO100510635Medicare PIN
MO127217OtherBLUE CROSS
MO966795236Medicare PIN