Provider Demographics
NPI:1760463731
Name:ARORA, MADAN (MD)
Entity Type:Individual
Prefix:DR
First Name:MADAN
Middle Name:
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 1:4100 BEECHER RD
Mailing Address - Street 2:STE B
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48532-3605
Mailing Address - Country:US
Mailing Address - Phone:810-235-8568
Mailing Address - Fax:810-235-4902
Practice Address - Street 1:4100 BEECHER RD
Practice Address - Street 2:STE B
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48532-3605
Practice Address - Country:US
Practice Address - Phone:810-235-8568
Practice Address - Fax:810-235-4902
Is Sole Proprietor?:No
Enumeration Date:2005-11-08
Last Update Date:2010-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIMA046936207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI3129198Medicaid
MI0B56404-002Medicare PIN
MI3129198Medicaid