MEDICARE: DR. RAVINDER K ARORA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RH0003X	Hematology & Oncology Physician	A36088	CA

General Provider Information

NPI Number	:	1952307720
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RAVINDER K ARORA MD

Provider Business Mailing Address
First Line	:	4721 DALLAS RANCH RD
Second Line	:
City	:	ANTIOCH
State	:	CA
Zip	:	94531-8811
Country	:	US
Telephone Number	:	925-778-0679
Fax Number	:	925-778-3567

Provider Business Practice Location Address
First Line	:	13847 E 14TH ST
Second Line	:	SUITE 217
City	:	SAN LEANDRO
State	:	CA
Zip	:	94578-2632
Country	:	US
Telephone Number	:	510-483-2555
Fax Number	:	510-483-1856

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/24/2005
Last Update Date	:	04/18/2013

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