Basic Information
Provider Information
NPI: 1477087567
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ARAS
FirstName: NIRMAL
MiddleName: GIRISH
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 180 HARVESTER DR STE 110
Address2:  
City: BURR RIDGE
State: IL
PostalCode: 605276686
CountryCode: US
TelephoneNumber: 7737021150
FaxNumber:  
Practice Location
Address1: 5841 S MARYLAND AVE # MC4028
Address2:  
City: CHICAGO
State: IL
PostalCode: 60637
CountryCode: US
TelephoneNumber: 7737026842
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/14/2017
LastUpdateDate: 10/31/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000X1250711796ILY Allopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


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