Healthcare Provider Details

I. General information

NPI: 1578493219
Provider Name (Legal Business Name): CARLOS LUIS ARANGO DE LEON M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/22/2026
Last Update Date: 05/22/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2520 5TH ST BAPTIST MEMORIAL HOSPITAL GOLDEN TRIANGLE
COLUMBES MS
39705
US

IV. Provider business mailing address

2520 5TH ST BAPTIST MEMORIAL HOSPITAL GOLDEN TRIANGLE
COLUMBES MS
39705
US

V. Phone/Fax

Practice location:
  • Phone: 662-244-2084
  • Fax: 662-244-2184
Mailing address:
  • Phone: 662-244-2084
  • Fax: 662-244-2184

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: