Provider Demographics
NPI:1689857211
Name:ARAKANCHI, ELLIOT
Entity type:Individual
Prefix:MR
First Name:ELLIOT
Middle Name:
Last Name:ARAKANCHI
Suffix:
Gender:M
Credentials:
Other - Prefix:MR
Other - First Name:ELLIOT
Other - Middle Name:
Other - Last Name:ARAKANCHI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5027 NEW UTRECHT AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11219-3547
Mailing Address - Country:US
Mailing Address - Phone:718-431-8000
Mailing Address - Fax:718-431-8943
Practice Address - Street 1:5027 NEW UTRECHT AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11219-3547
Practice Address - Country:US
Practice Address - Phone:718-431-8000
Practice Address - Fax:718-431-8943
Is Sole Proprietor?:No
Enumeration Date:2007-12-05
Last Update Date:2008-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY044102183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist