Provider Demographics
NPI:1215191267
Name:ARORA, ANIL (MD)
Entity Type:Individual
Prefix:
First Name:ANIL
Middle Name:
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 1:441 9TH AVE
Mailing Address - Street 2:FL 3
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001-1623
Mailing Address - Country:US
Mailing Address - Phone:646-680-4692
Mailing Address - Fax:
Practice Address - Street 1:280 CUMBERLAND TRACE RD APT 417
Practice Address - Street 2:
Practice Address - City:BOWLING GREEN
Practice Address - State:KY
Practice Address - Zip Code:42103-8906
Practice Address - Country:US
Practice Address - Phone:815-973-3357
Practice Address - Fax:270-691-8026
Is Sole Proprietor?:No
Enumeration Date:2008-07-17
Last Update Date:2016-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY264273207Y00000X
KY45109207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036-121457OtherPHYSICIAN LICENSE NUMBER
KY7100223520Medicaid
KY7100223520Medicaid
KYK048771Medicare PIN
KYK048773Medicare PIN