Provider Demographics
NPI:1316952807
Name:ARULANDU, JOSEPH R (MD)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:R
Last Name:ARULANDU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7002 W JOHNSON RD
Mailing Address - Street 2:
Mailing Address - City:LA PORTE
Mailing Address - State:IN
Mailing Address - Zip Code:46350-8289
Mailing Address - Country:US
Mailing Address - Phone:219-325-0604
Mailing Address - Fax:219-879-1401
Practice Address - Street 1:7002 W JOHNSON RD
Practice Address - Street 2:
Practice Address - City:LA PORTE
Practice Address - State:IN
Practice Address - Zip Code:46350-8289
Practice Address - Country:US
Practice Address - Phone:219-325-0604
Practice Address - Fax:219-879-1401
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2020-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01053921207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200335060Medicaid
IN000000201171OtherANTHEM
IN151020YYYMedicare PIN
IN200335060Medicaid