Provider Demographics
NPI:1619964095
Name:ARORA, RAMESH KUMAR (MD)
Entity Type:Individual
Prefix:DR
First Name:RAMESH
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:PO BOX 3146
Mailing Address - Street 2:
Mailing Address - City:CHATSWORTH
Mailing Address - State:CA
Mailing Address - Zip Code:91313-3146
Mailing Address - Country:US
Mailing Address - Phone:818-994-0616
Mailing Address - Fax:818-994-6579
Practice Address - Street 1:14411 HAMLIN ST
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91401-1467
Practice Address - Country:US
Practice Address - Phone:818-994-0616
Practice Address - Fax:818-994-6579
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-30
Last Update Date:2013-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC42324207R00000X, 207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00C423240Medicaid
CAZZZ516792ZOtherBLUECROSS ZZZ51679Z
CAC42324OtherSTATE LICENSE NUMBER
CAE08427Medicare UPIN
CAC42324OtherSTATE LICENSE NUMBER
CAW16611Medicare ID - Type UnspecifiedMEDICARE GROUP NUMBER