Healthcare Provider Details

I. General information

NPI: 1992771448
Provider Name (Legal Business Name): ARIEL ANGUIANO M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/24/2006
Last Update Date: 05/06/2024
Certification Date: 05/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 UNIVERSITY BLVD E
TUSCALOOSA AL
35401-2029
US

IV. Provider business mailing address

801 UNIVERSITY BOULEVARD EAST
TUSCALOOSA AL
35401-2029
US

V. Phone/Fax

Practice location:
  • Phone: 205-759-7800
  • Fax: 205-343-8029
Mailing address:
  • Phone: 205-759-7800
  • Fax: 205-343-8029

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number036-168370
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number30019
License Number StateAL
# 3
Primary TaxonomyN
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License NumberMD14071
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: