Provider Demographics
NPI:1508072430
Name:ARORA, RAKESH KUMAR (MD)
Entity Type:Individual
Prefix:DR
First Name:RAKESH
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 1:9836 W YEARLING RD STE F-1300
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85383-1376
Mailing Address - Country:US
Mailing Address - Phone:623-328-8664
Mailing Address - Fax:623-328-9432
Practice Address - Street 1:9836 W YEARLING RD STE F-1300
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85383-1376
Practice Address - Country:US
Practice Address - Phone:623-328-8664
Practice Address - Fax:623-328-9432
Is Sole Proprietor?:No
Enumeration Date:2007-05-15
Last Update Date:2024-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ40131208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ348835Medicaid
AZZ21113Medicare Oscar/Certification
Z123874Medicare PIN
AZ031805Medicare Oscar/Certification
AZZ21115Medicare Oscar/Certification
AZ031824Medicare Oscar/Certification
AZZ21130Medicare Oscar/Certification
AZ031822Medicare Oscar/Certification
Z123875Medicare PIN
AZ348835Medicaid
AZ031823Medicare Oscar/Certification
Z123872Medicare PIN