Healthcare Provider Details

I. General information

NPI: 1356279574
Provider Name (Legal Business Name): AVINASH ARUL DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/09/2026
Last Update Date: 05/09/2026
Certification Date: 05/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 23RD AVE
GREELEY CO
80634-6070
US

IV. Provider business mailing address

13803 GLENDON DR
RICHMOND TX
77407-1534
US

V. Phone/Fax

Practice location:
  • Phone: 970-810-2847
  • Fax: 970-810-2820
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberPDT.0000639
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: