Healthcare Provider Details

I. General information

NPI: 1902038698
Provider Name (Legal Business Name): YEESHU ARORA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2009
Last Update Date: 03/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1343 N ALMA SCHOOL RD STE 135
CHANDLER AZ
85224-5941
US

IV. Provider business mailing address

1343 N ALMA SCHOOL RD STE 160
CHANDLER AZ
85224-5901
US

V. Phone/Fax

Practice location:
  • Phone: 480-776-2982
  • Fax:
Mailing address:
  • Phone: 480-776-2982
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084N0008X
TaxonomyNeuromuscular Medicine (Psychiatry & Neurology) Physician
License Number57.020859
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number01071652A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: