Basic Information
| Provider Information | |||||||||
| NPI: | 1992765770 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ARREGUI | ||||||||
| FirstName: | MAURICE | ||||||||
| MiddleName: | E | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 112 HOSPITAL LANE | ||||||||
| Address2: | SUITE 100 | ||||||||
| City: | DANVILLE | ||||||||
| State: | IN | ||||||||
| PostalCode: | 461222600 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3177453740 | ||||||||
| FaxNumber: | 3177453816 | ||||||||
| Practice Location | |||||||||
| Address1: | 8402 HARCOURT RD | ||||||||
| Address2: | SUITE 815 | ||||||||
| City: | INDIANAPOLIS | ||||||||
| State: | IN | ||||||||
| PostalCode: | 462602074 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3178721158 | ||||||||
| FaxNumber: | 3178721186 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/24/2006 | ||||||||
| LastUpdateDate: | 05/25/2017 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208600000X | 1031107A | IN | Y | Allopathic & Osteopathic Physicians | Surgery |
ID Information
| ID | Type | State | Issuer | Description | 4354127 | 01 | IN | AETNA | OTHER | 020031341 | 01 | RAILROAD MEDICARE | OTHER | 000000084285 | 01 | IN | BLUE CROSS | OTHER | 351468850005 | 01 | IN | CIGNA | OTHER | 100073880 | 05 | IN | MEDICAID |