Provider Demographics
NPI:1255301743
Name:ARORA, SANJEEV (MD)
Entity Type:Individual
Prefix:
First Name:SANJEEV
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 1:2780 SNELLING AVE N
Mailing Address - Street 2:SUITE 304
Mailing Address - City:ROSEVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55113-7115
Mailing Address - Country:US
Mailing Address - Phone:651-815-8155
Mailing Address - Fax:
Practice Address - Street 1:2780 SNELLING AVE N
Practice Address - Street 2:SUITE 304
Practice Address - City:ROSEVILLE
Practice Address - State:MN
Practice Address - Zip Code:55113-7115
Practice Address - Country:US
Practice Address - Phone:651-815-8155
Practice Address - Fax:651-342-6394
Is Sole Proprietor?:No
Enumeration Date:2006-01-25
Last Update Date:2020-06-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN46656174400000X, 2081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN837968800Medicaid
MNI13087Medicare UPIN
MN837968800Medicaid