MEDICARE: PRADEEP SUBRAMONIAM ARUMUGHAM MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician	200301089	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1861495095
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PRADEEP SUBRAMONIAM ARUMUGHAM MD

Provider Business Mailing Address
First Line	:	701 DOCTORS DRIVE
Second Line	:	SUITE N
City	:	KINSTON
State	:	NC
Zip	:	28501-1584
Country	:	US
Telephone Number	:	252-559-2200
Fax Number	:	252-522-9778

Provider Business Practice Location Address
First Line	:	701 DOCTORS DRIVE
Second Line	:	SUITE N
City	:	KINSTON
State	:	NC
Zip	:	28501-1584
Country	:	US
Telephone Number	:	252-559-2200
Fax Number	:	252-522-9778

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	06/03/2022

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