Provider Demographics
NPI:1083285688
Name:DEOL, ARAN (MD)
Entity type:Individual
Prefix:
First Name:ARAN
Middle Name:
Last Name:DEOL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37100 N GANTZEL RD STE 201
Mailing Address - Street 2:
Mailing Address - City:QUEEN CREEK
Mailing Address - State:AZ
Mailing Address - Zip Code:85140-7352
Mailing Address - Country:US
Mailing Address - Phone:480-394-4469
Mailing Address - Fax:
Practice Address - Street 1:37100 N GANTZEL RD STE 201
Practice Address - Street 2:
Practice Address - City:QUEEN CREEK
Practice Address - State:AZ
Practice Address - Zip Code:85140-7352
Practice Address - Country:US
Practice Address - Phone:480-394-4469
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-05
Last Update Date:2024-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ73093207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine