Provider Demographics
NPI:1861570095
Name:MANDIP S ARORA MD
Entity type:Organization
Organization Name:MANDIP S ARORA MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MANDIP
Authorized Official - Middle Name:SINGH
Authorized Official - Last Name:ARORA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:702-869-6892
Mailing Address - Street 1:7620 VICTORY GALLUP ST
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89131-4124
Mailing Address - Country:US
Mailing Address - Phone:702-869-6892
Mailing Address - Fax:702-256-8510
Practice Address - Street 1:6970 W PATRICK LN
Practice Address - Street 2:SUITE 140
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89113-0269
Practice Address - Country:US
Practice Address - Phone:702-869-6892
Practice Address - Fax:702-256-8510
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-02
Last Update Date:2010-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV7675207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV100506643Medicaid
NV100955Medicare ID - Type Unspecified
NV100506643Medicaid