Provider Demographics
NPI:1073557278
Name:ARORA, MUKTA (MB, BS)
Entity Type:Individual
Prefix:DR
First Name:MUKTA
Middle Name:
Last Name:ARORA
Suffix:
Gender:F
Credentials:MB, BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:420 DELAWARE STREET SE
Mailing Address - Street 2:UNIVERSITY OF MINNESOTA PHYISICIANS, MMC 480
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55455
Mailing Address - Country:US
Mailing Address - Phone:612-624-0123
Mailing Address - Fax:612-625-6919
Practice Address - Street 1:516 DELAWARE STREET SE
Practice Address - Street 2:UNIV. OF MN PHYSICIANS, PWB FIFTH FLOOR, CLINIC 5B
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55455
Practice Address - Country:US
Practice Address - Phone:612-273-2800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-16
Last Update Date:2012-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN44897207R00000X, 207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN1033943OtherPREFERRED ONE
WI34325700Medicaid
MN36-00332OtherMEDICA CHOICE
MN939649700Medicaid
MN171378OtherUCARE
MN36-00013OtherMEDICA PRIMARY
MNHP40221OtherHEALTHPARTNERS
MN939649700Medicaid
MN36-00013OtherMEDICA PRIMARY
MN36-00332OtherMEDICA CHOICE