Provider Demographics
NPI:1851688410
Name:ARORA, SAMEER (MBBS)
Entity Type:Individual
Prefix:
First Name:SAMEER
Middle Name:
Last Name:ARORA
Suffix:
Gender:M
Credentials:MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:144 BILL CARRUTH PKWY STE 4200
Mailing Address - Street 2:
Mailing Address - City:HIRAM
Mailing Address - State:GA
Mailing Address - Zip Code:30141-3819
Mailing Address - Country:US
Mailing Address - Phone:678-324-4444
Mailing Address - Fax:770-528-9932
Practice Address - Street 1:144 BILL CARRUTH PKWY STE 4200
Practice Address - Street 2:
Practice Address - City:HIRAM
Practice Address - State:GA
Practice Address - Zip Code:30141-3819
Practice Address - Country:US
Practice Address - Phone:678-324-4444
Practice Address - Fax:770-528-9932
Is Sole Proprietor?:No
Enumeration Date:2011-07-05
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA005061207R00000X
GA95991207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1851688410Medicaid