Healthcare Provider Details

I. General information

NPI: 1093006090
Provider Name (Legal Business Name): NAVEEN KUMAR ARORA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/25/2011
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1557 JANMAR RD
SNELLVILLE GA
30078
US

IV. Provider business mailing address

1557 JANMAR RD
SNELLVILLE GA
30078-5686
US

V. Phone/Fax

Practice location:
  • Phone: 678-344-8900
  • Fax: 404-492-7021
Mailing address:
  • Phone: 678-344-8900
  • Fax: 404-492-7021

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208800000X
TaxonomyUrology Physician
License Number2015-02517
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License Number78639
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: