Provider Demographics
NPI:1144392036
Name:AARONS, CHARLES L (MD)
Entity type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:L
Last Name:AARONS
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 1:1730 SHORE DRIVE
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99515-3207
Mailing Address - Country:US
Mailing Address - Phone:907-360-8990
Mailing Address - Fax:907-257-8188
Practice Address - Street 1:1730 SHORE DRIVE
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99515-3207
Practice Address - Country:US
Practice Address - Phone:907-360-8990
Practice Address - Fax:907-257-8188
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-15
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK1619207Q00000X
AKMEDS1619208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AKMD1619Medicaid
AKAA1634179OtherDEA
AKMD1619Medicaid
AK011WCHKZAMedicare PIN