Provider Demographics
NPI:1447493838
Name:YARROZU, ARUNA LATHA (MD)
Entity type:Individual
Prefix:DR
First Name:ARUNA
Middle Name:LATHA
Last Name:YARROZU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ARUNA
Other - Middle Name:LATHA
Other - Last Name:YEDILESWARAPU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:423 S MICHAEL AVE
Mailing Address - Street 2:
Mailing Address - City:MUSKOGEE
Mailing Address - State:OK
Mailing Address - Zip Code:74403-2350
Mailing Address - Country:US
Mailing Address - Phone:310-592-8372
Mailing Address - Fax:
Practice Address - Street 1:423 S MICHAEL AVE
Practice Address - Street 2:
Practice Address - City:MUSKOGEE
Practice Address - State:OK
Practice Address - Zip Code:74403-2350
Practice Address - Country:US
Practice Address - Phone:310-592-8372
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-14
Last Update Date:2020-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA127628208100000X
TXQ7516208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXQ7516OtherLICENSE
CAA127628OtherLICENSE