Healthcare Provider Details

I. General information

NPI: 1689163529
Provider Name (Legal Business Name): AVERY ARORA, MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2018
Last Update Date: 05/30/2021
Certification Date: 05/30/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7001 ORCHARD LAKE RD STE 220
WEST BLOOMFIELD MI
48322-3606
US

IV. Provider business mailing address

7001 ORCHARD LAKE RD STE 220
WEST BLOOMFIELD MI
48322-3606
US

V. Phone/Fax

Practice location:
  • Phone: 888-392-4263
  • Fax: 888-392-4263
Mailing address:
  • Phone: 888-392-4263
  • Fax: 888-392-4263

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0105X
TaxonomySurgery of the Hand (Surgery) Physician
License Number4301085509
License Number StateMI

VIII. Authorized Official

Name: AVERY A. ARORA
Title or Position: PRESIDENT
Credential: MD
Phone: 888-392-4263