Provider Demographics
NPI:1992765770
Name:ARREGUI, MAURICE E (MD)
Entity type:Individual
Prefix:DR
First Name:MAURICE
Middle Name:E
Last Name:ARREGUI
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 1:112 HOSPITAL LANE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:DANVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46122-2600
Mailing Address - Country:US
Mailing Address - Phone:317-745-3740
Mailing Address - Fax:317-745-3816
Practice Address - Street 1:8402 HARCOURT RD
Practice Address - Street 2:SUITE 815
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46260-2074
Practice Address - Country:US
Practice Address - Phone:317-872-1158
Practice Address - Fax:317-872-1186
Is Sole Proprietor?:No
Enumeration Date:2006-03-24
Last Update Date:2017-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN1031107A208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN4354127OtherAETNA
020031341OtherRAILROAD MEDICARE
IN000000084285OtherBLUE CROSS
IN351468850005OtherCIGNA
IN100073880Medicaid
020031341OtherRAILROAD MEDICARE
B28432Medicare UPIN