Provider Demographics
NPI:1356441109
Name:ARORA, SURINDER KUMAR (MD)
Entity Type:Individual
Prefix:MR
First Name:SURINDER
Middle Name:KUMAR
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 1:3311 TOLEDO TERRACE
Mailing Address - Street 2:C107
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20782
Mailing Address - Country:US
Mailing Address - Phone:301-717-6079
Mailing Address - Fax:301-365-0298
Practice Address - Street 1:3311 TOLEDO TERRACE #C-105
Practice Address - Street 2:
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20782
Practice Address - Country:US
Practice Address - Phone:301-853-3900
Practice Address - Fax:301-365-0298
Is Sole Proprietor?:No
Enumeration Date:2006-09-22
Last Update Date:2021-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0014282207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD348541201Medicaid
MD005234Medicare PIN
MD348541201Medicaid