Provider Demographics
NPI:1932202231
Name:ARAUJO, ARMANDO (MD)
Entity Type:Individual
Prefix:
First Name:ARMANDO
Middle Name:
Last Name:ARAUJO
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:PO BOX 418
Mailing Address - Street 2:
Mailing Address - City:PINE GROVE
Mailing Address - State:WV
Mailing Address - Zip Code:26419-0418
Mailing Address - Country:US
Mailing Address - Phone:304-889-3344
Mailing Address - Fax:304-889-3366
Practice Address - Street 1:12960 SHORTLINE HWY
Practice Address - Street 2:
Practice Address - City:PINE GROVE
Practice Address - State:WV
Practice Address - Zip Code:26419
Practice Address - Country:US
Practice Address - Phone:304-889-3344
Practice Address - Fax:304-889-3366
Is Sole Proprietor?:No
Enumeration Date:2006-09-06
Last Update Date:2013-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV13099207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV3810016520Medicaid
WVI31245Medicare UPIN
7407771Medicare PIN