Provider Demographics
NPI:1922171644
Name:ARORA, MANINDER P (MD)
Entity Type:Individual
Prefix:
First Name:MANINDER
Middle Name:P
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 1:4440 BROCKTON AVE
Mailing Address - Street 2:SUITE #130
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92501-4068
Mailing Address - Country:US
Mailing Address - Phone:951-784-7444
Mailing Address - Fax:951-784-7474
Practice Address - Street 1:4440 BROCKTON AVE
Practice Address - Street 2:SUITE #130
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92501-4068
Practice Address - Country:US
Practice Address - Phone:951-784-7444
Practice Address - Fax:951-784-7474
Is Sole Proprietor?:No
Enumeration Date:2006-11-17
Last Update Date:2016-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
A42567174400000X
CAA425672084N0402X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0402XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology with Special Qualifications in Child Neurology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A425670Medicaid
CA00A425671Medicare ID - Type Unspecified
CA00A425670Medicaid
CA00A417090Medicare PIN