Provider Demographics
NPI:1801924469
Name:KAREN F ARCOTTA MD LTD
Entity type:Organization
Organization Name:KAREN F ARCOTTA MD LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:F
Authorized Official - Last Name:ARCOTTA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:928-788-9494
Mailing Address - Street 1:1520 E HAMMER LN
Mailing Address - Street 2:SUITE 105
Mailing Address - City:FORT MOHAVE
Mailing Address - State:AZ
Mailing Address - Zip Code:86426-6664
Mailing Address - Country:US
Mailing Address - Phone:928-788-9494
Mailing Address - Fax:928-788-9495
Practice Address - Street 1:1520 E HAMMER LN
Practice Address - Street 2:SUITE 105
Practice Address - City:FORT MOHAVE
Practice Address - State:AZ
Practice Address - Zip Code:86426-6664
Practice Address - Country:US
Practice Address - Phone:928-788-9494
Practice Address - Fax:928-788-9495
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ15646207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZC95735Medicare UPIN