Healthcare Provider Details
I. General information
NPI: 1760496590
Provider Name (Legal Business Name): NARINDER S. ARORA, M.D., S.C.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/28/2006
Last Update Date: 01/23/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
401 N MULBERRY ST
EFFINGHAM IL
62401-2009
US
IV. Provider business mailing address
401 N MULBERRY ST
EFFINGHAM IL
62401-2009
US
V. Phone/Fax
- Phone: 217-347-0768
- Fax: 217-347-0729
- Phone: 217-347-0768
- Fax: 217-347-0729
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | |
| License Number State | IL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RP1001X |
| Taxonomy | Pulmonary Disease Physician |
| License Number | |
| License Number State | IL |
VIII. Authorized Official
Name:
NARINDER
S
ARORA
Title or Position: SOLE PROPRIETOR
Credential: M.D.
Phone: 217-347-0768