Provider Demographics
NPI:1689163529
Name:AVERY ARORA, MD PC
Entity Type:Organization
Organization Name:AVERY ARORA, MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AVERY
Authorized Official - Middle Name:A
Authorized Official - Last Name:ARORA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:888-392-4263
Mailing Address - Street 1:7001 ORCHARD LAKE RD STE 220
Mailing Address - Street 2:
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48322-3606
Mailing Address - Country:US
Mailing Address - Phone:888-392-4263
Mailing Address - Fax:888-392-4263
Practice Address - Street 1:7001 ORCHARD LAKE RD STE 220
Practice Address - Street 2:
Practice Address - City:WEST BLOOMFIELD
Practice Address - State:MI
Practice Address - Zip Code:48322-3606
Practice Address - Country:US
Practice Address - Phone:888-392-4263
Practice Address - Fax:888-392-4263
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-07
Last Update Date:2021-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI43010855092086S0105X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0105XAllopathic & Osteopathic PhysiciansSurgerySurgery of the HandGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1689163529OtherGROUP NPI
1932313558OtherINDIVIDUAL NPI