Healthcare Provider Details

I. General information

NPI: 1407904170
Provider Name (Legal Business Name): GAGANDEEP SINGH ARORA D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/08/2007
Last Update Date: 03/09/2020
Certification Date: 03/09/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18444 N 25TH AVE STE 210
PHOENIX AZ
85023-1261
US

IV. Provider business mailing address

18511 N SCOTTSDALE RD STE 202
SCOTTSDALE AZ
85255-9694
US

V. Phone/Fax

Practice location:
  • Phone: 866-974-2673
  • Fax: 866-939-2673
Mailing address:
  • Phone: 480-306-7242
  • Fax: 480-306-6246

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number7430
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: