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NPI Code Detail

MEDICARE: DR. PANKAJ ARORA MD

MEDICARE: DR. PANKAJ ARORA MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208M00000XHospitalist PhysicianC54066CA

General Provider Information

NPI Number : 1033110044
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PANKAJ ARORA MD
Provider Business Mailing Address
First Line : 401 BICENTENNIAL WAY
Second Line : KAISER PERMANENTE HOSPITAL
City : SANTA ROSA
State : CA
Zip : 95403-2149
Country : US
Telephone Number : 707-393-4000
Fax Number : 707-393-2163
Provider Business Practice Location Address
First Line : 401 BICENTENNIAL WAY
Second Line : KAISER PERMANENTE HOSPITAL
City : SANTA ROSA
State : CA
Zip : 95403-2149
Country : US
Telephone Number : 707-393-4000
Fax Number : 707-393-2163
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2005
Last Update Date : 12/15/2021

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