Healthcare Provider Details

I. General information

NPI: 1659538627
Provider Name (Legal Business Name): ANDREW E ARAI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/19/2008
Last Update Date: 12/10/2024
Certification Date: 12/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

MSC1061 BLDG 10 RM B1D416 10 CENTER DR
BETHESDA MD
20892-0001
US

IV. Provider business mailing address

RM B1D416 MSC1061 BLDG 10 10 CENTER DR
BETHESDA MD
20892-0001
US

V. Phone/Fax

Practice location:
  • Phone: 301-496-3658
  • Fax: 301-402-2389
Mailing address:
  • Phone: 301-496-3658
  • Fax: 301-402-2389

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberD0047077
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: