Provider Demographics
NPI:1912933292
Name:ARORA, SURENDER K (MD)
Entity Type:Individual
Prefix:DR
First Name:SURENDER
Middle Name:K
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 1:510 E STONER AVE
Mailing Address - Street 2:111 (MEDICAL SERVICE/ ENDOCRINOLOGY)
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71101-4243
Mailing Address - Country:US
Mailing Address - Phone:318-221-8411
Mailing Address - Fax:318-990-5579
Practice Address - Street 1:510 E STONER AVE
Practice Address - Street 2:111 (MEDICAL SERVICE/ ENDOCRINOLOGY)
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71101-4243
Practice Address - Country:US
Practice Address - Phone:318-221-8411
Practice Address - Fax:318-990-5579
Is Sole Proprietor?:No
Enumeration Date:2006-06-25
Last Update Date:2009-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT60588991205207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism