Provider Demographics
NPI:1699770578
Name:ARASU, THIRU S (MD)
Entity type:Individual
Prefix:MR
First Name:THIRU
Middle Name:S
Last Name:ARASU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3003 W DR MLK JR BLVD
Mailing Address - Street 2:MAB 3RD FLOOR
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33607
Mailing Address - Country:US
Mailing Address - Phone:813-870-4438
Mailing Address - Fax:813-870-4153
Practice Address - Street 1:3003 W DR MLK JR BLVD
Practice Address - Street 2:MAB 3RD FLOOR
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607
Practice Address - Country:US
Practice Address - Phone:813-870-4438
Practice Address - Fax:813-870-4153
Is Sole Proprietor?:No
Enumeration Date:2005-06-16
Last Update Date:2024-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME00441442080P0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0206XAllopathic & Osteopathic PhysiciansPediatricsPediatric Gastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL069158500Medicaid
FLD21489Medicare UPIN