Provider Demographics
NPI:1235158189
Name:ARORA, BALVANT PARASHRAM (MD)
Entity Type:Individual
Prefix:MR
First Name:BALVANT
Middle Name:PARASHRAM
Last Name:ARORA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:BALVANTRAY
Other - Middle Name:P
Other - Last Name:ARORA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1101 SAM PERRY BLVD., SUITE 121
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22401-4467
Mailing Address - Country:US
Mailing Address - Phone:540-899-1600
Mailing Address - Fax:540-899-1606
Practice Address - Street 1:1101 SAM PERRY BLVD., SUITE 121
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22401-4467
Practice Address - Country:US
Practice Address - Phone:540-899-1600
Practice Address - Fax:540-899-1606
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2017-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01012429962086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
H41327Medicare UPIN