Healthcare Provider Details

I. General information

NPI: 1841729449
Provider Name (Legal Business Name): SEAN ARORA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/07/2017
Last Update Date: 01/13/2025
Certification Date: 01/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 LENORA ST STE 958
SEATTLE WA
98121-2411
US

IV. Provider business mailing address

300 LENORA ST STE 958
SEATTLE WA
98121-2411
US

V. Phone/Fax

Practice location:
  • Phone: 630-487-1765
  • Fax:
Mailing address:
  • Phone: 630-487-1765
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number22636
License Number StateNH
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberEMC0000858
License Number StateMI
# 3
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD61088682
License Number StateWA
# 4
Primary TaxonomyN
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License NumberR52811
License Number StateKY
# 5
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number036.155949
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: