Provider Demographics
NPI:1548490261
Name:ARETAEUS TELEMEDICINE INC.
Entity type:Organization
Organization Name:ARETAEUS TELEMEDICINE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:K
Authorized Official - Last Name:GUDE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:707-824-0882
Mailing Address - Street 1:2751 4TH ST # 135
Mailing Address - Street 2:
Mailing Address - City:SANTA ROSA
Mailing Address - State:CA
Mailing Address - Zip Code:95405-4726
Mailing Address - Country:US
Mailing Address - Phone:888-432-2455
Mailing Address - Fax:
Practice Address - Street 1:1046 WINDING RIDGE RD
Practice Address - Street 2:
Practice Address - City:SANTA ROSA
Practice Address - State:CA
Practice Address - Zip Code:95404-2562
Practice Address - Country:US
Practice Address - Phone:707-326-5855
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-15
Last Update Date:2023-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care MedicineGroup - Multi-Specialty