Provider Demographics
NPI:1932267010
Name:ARUN DHINGRA, MD
Entity Type:Organization
Organization Name:ARUN DHINGRA, MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ARUN
Authorized Official - Middle Name:K
Authorized Official - Last Name:DHINGRA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:315-724-8819
Mailing Address - Street 1:1705 GENESEE ST
Mailing Address - Street 2:
Mailing Address - City:UTICA
Mailing Address - State:NY
Mailing Address - Zip Code:13501-5642
Mailing Address - Country:US
Mailing Address - Phone:315-724-8819
Mailing Address - Fax:315-734-0026
Practice Address - Street 1:1705 GENESEE ST
Practice Address - Street 2:
Practice Address - City:UTICA
Practice Address - State:NY
Practice Address - Zip Code:13501-5642
Practice Address - Country:US
Practice Address - Phone:315-724-8819
Practice Address - Fax:315-734-0026
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-04
Last Update Date:2008-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY195820207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01563280Medicaid
NY01563280Medicaid