Provider Demographics
NPI:1427266121
Name:CHARLU, ARPITHA (MD)
Entity type:Individual
Prefix:
First Name:ARPITHA
Middle Name:
Last Name:CHARLU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ARPITHA
Other - Middle Name:
Other - Last Name:MUTHIALU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:114 BAYCREST CT
Mailing Address - Street 2:
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92660-2923
Mailing Address - Country:US
Mailing Address - Phone:949-887-4290
Mailing Address - Fax:949-887-4290
Practice Address - Street 1:2571 W LA PALMA AVE
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92801-2622
Practice Address - Country:US
Practice Address - Phone:949-887-4290
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-18
Last Update Date:2010-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAR-7956207W00000X
CAA107556207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology