Healthcare Provider Details

I. General information

NPI: 1245465053
Provider Name (Legal Business Name): HERMAN ARONOV NAFTEL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/22/2009
Last Update Date: 02/10/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

107 SUNNYBROOK ROAD
RALEIGH NC
27610
US

IV. Provider business mailing address

107 SUNNYBROOK RD
RALEIGH NC
27610-1827
US

V. Phone/Fax

Practice location:
  • Phone: 984-974-4822
  • Fax: 984-974-4920
Mailing address:
  • Phone: 984-974-4822
  • Fax: 984-974-4920

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number2011-00661
License Number StateNC

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: