Provider Demographics
NPI:1295976827
Name:ARANGO, BELISARIO AUGUSTO (MD)
Entity type:Individual
Prefix:
First Name:BELISARIO
Middle Name:AUGUSTO
Last Name:ARANGO
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 1:5290 S 400 E
Mailing Address - Street 2:
Mailing Address - City:OGDEN
Mailing Address - State:UT
Mailing Address - Zip Code:84405-7194
Mailing Address - Country:US
Mailing Address - Phone:801-476-1777
Mailing Address - Fax:801-479-1479
Practice Address - Street 1:5290 S 400 E
Practice Address - Street 2:
Practice Address - City:OGDEN
Practice Address - State:UT
Practice Address - Zip Code:84405-7194
Practice Address - Country:US
Practice Address - Phone:801-476-1777
Practice Address - Fax:801-479-1479
Is Sole Proprietor?:No
Enumeration Date:2009-03-11
Last Update Date:2019-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301092683207R00000X
UT10694833-1205207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine