Provider Demographics
NPI:1720145998
Name:GROVER, ARUN KUMAR (MD)
Entity Type:Individual
Prefix:DR
First Name:ARUN
Middle Name:KUMAR
Last Name:GROVER
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 1:10320 FELDFARM LN
Mailing Address - Street 2:SUITE 300
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28210-8484
Mailing Address - Country:US
Mailing Address - Phone:704-541-0925
Mailing Address - Fax:704-541-0924
Practice Address - Street 1:10320 FELDFARM LN
Practice Address - Street 2:SUITE 300
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28210-8484
Practice Address - Country:US
Practice Address - Phone:704-541-0925
Practice Address - Fax:704-541-0924
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-03
Last Update Date:2020-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200301465207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC89136CTMedicaid
NC2022534Medicare PIN
NCG05878Medicare UPIN