Provider Demographics
NPI:1396968038
Name:ARORA, PAWAN KUMAR (MD)
Entity type:Individual
Prefix:
First Name:PAWAN
Middle Name:KUMAR
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 1:1501 MOUNT ROSE AVE
Mailing Address - Street 2:STE 6B
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17403-2989
Mailing Address - Country:US
Mailing Address - Phone:717-741-5959
Mailing Address - Fax:717-741-4395
Practice Address - Street 1:310 PINE GROVE COMMONS
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403
Practice Address - Country:US
Practice Address - Phone:717-741-5959
Practice Address - Fax:717-741-4395
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-11
Last Update Date:2020-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD066389L207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAG35722Medicare UPIN
PA084932Medicare PIN
PADN6874Medicare PIN
PAP00167400Medicare PIN
PA022295TD1Medicare PIN