Basic Information
Provider Information
NPI: 1033322698
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: VEERA
FirstName: ARUN
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1447 N HARRISON ST
Address2:  
City: SAGINAW
State: MI
PostalCode: 486024727
CountryCode: US
TelephoneNumber: 9895832794
FaxNumber: 9895832829
Practice Location
Address1: 835 MIDLAND RD
Address2:  
City: SAGINAW
State: MI
PostalCode: 486385782
CountryCode: US
TelephoneNumber: 9897921375
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/08/2007
LastUpdateDate: 04/26/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000X57011635OHN Allopathic & Osteopathic PhysiciansFamily Medicine 
207Q00000X4301094144MIY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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