Provider Demographics
NPI:1376884569
Name:ARORA, SHRUTI (MD)
Entity Type:Individual
Prefix:
First Name:SHRUTI
Middle Name:
Last Name:ARORA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 HEGEMAN AVE
Mailing Address - Street 2:APT #8F
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11212-4756
Mailing Address - Country:US
Mailing Address - Phone:760-820-9000
Mailing Address - Fax:
Practice Address - Street 1:7 HEGEMAN AVE
Practice Address - Street 2:APT #8F
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11212-4756
Practice Address - Country:US
Practice Address - Phone:760-820-9000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-13
Last Update Date:2019-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
NJ25MA09311300207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program