Provider Demographics
NPI:1689763476
Name:ARORA, REETA M (MD)
Entity Type:Individual
Prefix:
First Name:REETA
Middle Name:M
Last Name:ARORA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3640 HIGH ST
Mailing Address - Street 2:STE 2A
Mailing Address - City:PORTSMOUTH
Mailing Address - State:VA
Mailing Address - Zip Code:23707-3213
Mailing Address - Country:US
Mailing Address - Phone:757-397-6930
Mailing Address - Fax:757-397-4864
Practice Address - Street 1:3640 HIGH ST
Practice Address - Street 2:STE 2A
Practice Address - City:PORTSMOUTH
Practice Address - State:VA
Practice Address - Zip Code:23707-3213
Practice Address - Country:US
Practice Address - Phone:757-397-6930
Practice Address - Fax:757-397-4864
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2011-02-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0101233183208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA250014074OtherMEDICARE RR
VA016555O04Medicare PIN
VAH75509Medicare UPIN
VA00Y208M03Medicare PIN