Healthcare Provider Details

I. General information

NPI: 1851065247
Provider Name (Legal Business Name): SIDDHANT ARORA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/09/2021
Last Update Date: 08/09/2021
Certification Date: 07/13/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PRISMA HEALTH MEDICAL GROUP NEUROLOGY 8 MEDICAL PARK, STE 420
COLUMBIA SC
29203
US

IV. Provider business mailing address

PRISMA HEALTH MEDICAL GROUP NEUROLOGY 8 MEDICAL PARK, STE 420
COLUMBIA SC
29203
US

V. Phone/Fax

Practice location:
  • Phone: 803-545-6050
  • Fax: 803-545-6051
Mailing address:
  • Phone: 803-545-6050
  • Fax: 803-545-6051

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberLL86488
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: