Provider Demographics
NPI:1164483244
Name:ARORA, RAVEEN RAMESH (MD)
Entity Type:Individual
Prefix:
First Name:RAVEEN
Middle Name:RAMESH
Last Name:ARORA
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 1:1712 W MEDICAL CENTER DR
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92801-1801
Mailing Address - Country:US
Mailing Address - Phone:714-491-7200
Mailing Address - Fax:714-491-7266
Practice Address - Street 1:1712 W MEDICAL CENTER DR
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92801-1801
Practice Address - Country:US
Practice Address - Phone:714-491-7200
Practice Address - Fax:714-491-7266
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-29
Last Update Date:2013-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA37910207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A379100OtherBLUE SHIELD OF CALIF
CA00A379100Medicaid
CAA37910Medicare ID - Type UnspecifiedMEDICARE PROVIDER ID
CA00A379100Medicaid