Provider Demographics
NPI:1871571208
Name:ARORA, SORAJ (DO)
Entity type:Individual
Prefix:
First Name:SORAJ
Middle Name:
Last Name:ARORA
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9305 CALUMET AVE
Mailing Address - Street 2:SUITE D-2
Mailing Address - City:MUNSTER
Mailing Address - State:IN
Mailing Address - Zip Code:46321-2887
Mailing Address - Country:US
Mailing Address - Phone:219-513-0033
Mailing Address - Fax:219-513-0044
Practice Address - Street 1:9305 CALUMET AVE
Practice Address - Street 2:SUITE D-2
Practice Address - City:MUNSTER
Practice Address - State:IN
Practice Address - Zip Code:46321-2887
Practice Address - Country:US
Practice Address - Phone:219-513-0033
Practice Address - Fax:219-513-0044
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-05
Last Update Date:2008-08-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN02002795207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200503660Medicaid
IN200503660Medicaid