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NPI Code Detail

MEDICARE: JANELLE E ARIAS M.D.

MEDICARE: JANELLE E ARIAS M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0804XChild & Adolescent Psychiatry Physician0101264861VA

General Provider Information

NPI Number : 1184755670
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANELLE E ARIAS M.D.
Provider Business Mailing Address
First Line : 4525 N RAVENSWOOD AVE STE 201
Second Line :
City : CHICAGO
State : IL
Zip : 60640-5201
Country : US
Telephone Number : 312-878-4520
Fax Number : 708-575-8311
Provider Business Practice Location Address
First Line : 6627 W BROAD ST STE 400
Second Line :
City : RICHMOND
State : VA
Zip : 23230-1733
Country : US
Telephone Number : 804-774-4550
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/08/2007
Last Update Date : 01/21/2020

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