Basic Information
| Provider Information | |||||||||
| NPI: | 1922266634 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ARAZI | ||||||||
| FirstName: | TEOFILO | ||||||||
| MiddleName: | JUAN CARLOS | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1 GUTHRIE SQ | ||||||||
| Address2: | |||||||||
| City: | SAYRE | ||||||||
| State: | PA | ||||||||
| PostalCode: | 188401625 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5708885858 | ||||||||
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| Practice Location | |||||||||
| Address1: | 176 DENISON PKWY E | ||||||||
| Address2: | |||||||||
| City: | CORNING | ||||||||
| State: | NY | ||||||||
| PostalCode: | 148302814 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6079377200 | ||||||||
| FaxNumber: | 6079377860 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/29/2008 | ||||||||
| LastUpdateDate: | 04/01/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 04/01/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | N1532 | TX | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | 01065246A | IN | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | 262066 | NY | N | Allopathic & Osteopathic Physicians | Internal Medicine | 208M00000X | N1532 | TX | N | Allopathic & Osteopathic Physicians | Hospitalist | 208M00000X | 262066 | NY | Y | Allopathic & Osteopathic Physicians | Hospitalist |
No ID Information.