Healthcare Provider Details

I. General information

NPI: 1801921507
Provider Name (Legal Business Name): ANTHONY R ARAUZ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/22/2007
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 PARK ST
BOWLING GREEN KY
42101-1759
US

IV. Provider business mailing address

201 PARK ST
BOWLING GREEN KY
42101-1742
US

V. Phone/Fax

Practice location:
  • Phone: 270-781-5111
  • Fax: 270-783-3750
Mailing address:
  • Phone: 270-781-5111
  • Fax: 270-783-3750

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number22866
License Number StateND
# 2
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberMD-55600
License Number StateIA
# 3
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number43247
License Number StateKY
# 4
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number2011009241
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: