Provider Demographics
NPI:1588600548
Name:LAROIA, ARCHANA TIRATH (MD)
Entity type:Individual
Prefix:
First Name:ARCHANA
Middle Name:TIRATH
Last Name:LAROIA
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:ARCHANA
Other - Middle Name:
Other - Last Name:KUMARI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:200 HAWKINS DR
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52242-1009
Mailing Address - Country:US
Mailing Address - Phone:319-356-3375
Mailing Address - Fax:319-356-2220
Practice Address - Street 1:200 HAWKINS DR
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52242-1009
Practice Address - Country:US
Practice Address - Phone:319-356-3375
Practice Address - Fax:319-356-2220
Is Sole Proprietor?:No
Enumeration Date:2006-06-20
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA365702085B0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085B0100XAllopathic & Osteopathic PhysiciansRadiologyBody Imaging
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0727446Medicaid
IA10176OtherWELLMARK BCBS
IAP00372307Medicare PIN
IA10176OtherWELLMARK BCBS
IAI18015Medicare PIN