Healthcare Provider Details

I. General information

NPI: 1164624789
Provider Name (Legal Business Name): GEETIKA ARORA KLEVOS M.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2007
Last Update Date: 11/12/2025
Certification Date: 11/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15735 PINES BLVD
PEMBROKE PINES FL
33027-1207
US

IV. Provider business mailing address

15735 PINES BLVD
PEMBROKE PINES FL
33027-1207
US

V. Phone/Fax

Practice location:
  • Phone: 954-517-1725
  • Fax: 954-517-1729
Mailing address:
  • Phone: 954-517-1725
  • Fax: 954-517-1729

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number27026
License Number StateNV
# 2
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberME103295
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number80931
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: