Provider Demographics
NPI:1922030246
Name:ARORA, PRINCY (MD)
Entity Type:Individual
Prefix:
First Name:PRINCY
Middle Name:
Last Name:ARORA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:64 ASPEN WAY STE 101
Mailing Address - Street 2:
Mailing Address - City:WATSONVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95076-3084
Mailing Address - Country:US
Mailing Address - Phone:831-786-1660
Mailing Address - Fax:831-786-1663
Practice Address - Street 1:64 ASPEN WAY STE 101
Practice Address - Street 2:
Practice Address - City:WATSONVILLE
Practice Address - State:CA
Practice Address - Zip Code:95076-3084
Practice Address - Country:US
Practice Address - Phone:831-786-1660
Practice Address - Fax:831-786-1663
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2009-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA632082084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A632030Medicaid
CA00A632030Medicare ID - Type Unspecified
CA00A632030Medicaid