Provider Demographics
NPI:1285831156
Name:ARANAS, EDWARD PELANTE (DO)
Entity type:Individual
Prefix:
First Name:EDWARD
Middle Name:PELANTE
Last Name:ARANAS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2500 W UTOPIA RD
Mailing Address - Street 2:STE. 100
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85027-4171
Mailing Address - Country:US
Mailing Address - Phone:602-214-6148
Mailing Address - Fax:602-214-6149
Practice Address - Street 1:6206 W BELL RD
Practice Address - Street 2:STE. 1
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85308-3750
Practice Address - Country:US
Practice Address - Phone:602-375-5440
Practice Address - Fax:602-375-5510
Is Sole Proprietor?:No
Enumeration Date:2007-07-02
Last Update Date:2013-09-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZR1077207Q00000X
AZ005328207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ546039Medicaid
AZ546039Medicaid